Organization
CHOCTAW NATION CARE CENTER LLC
Active
Other names
Choctaw Nation Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON MORGAN (PRESIDENT)
(918) 235-6443
Entity
Organization
Contact information
Practice address
400 SW O ST, ANTLERS, OK 74523-3416
(580) 298-5528
(580) 298-2755
Mailing address
400 SW O ST, ANTLERS, OK 74523-3416
(580) 298-5528
(580) 298-6316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699600A
—
OK
Enumeration date
10/04/2005
Last updated
03/22/2021
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