Organization
N& R OF PONCA CITY LLC
Active
Other names
Ponca City Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY H TRUMBO (CFO)
(502) 254-9525
Entity
Organization
Contact information
Practice address
1400 N WAVERLY ST, PONCA CITY, OK 74601-2134
(580) 762-6668
(580) 762-2669
Mailing address
329 TOWNEPARK CIR, SUITE 100, LOUISVILLE, KY 40243-2348
(502) 254-9525
(502) 254-9919
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH3606-3606
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100849730A
—
OK
Enumeration date
07/15/2005
Last updated
08/27/2025
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