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Organization

STILLWATER NURSING CENTER LLC

Active
Other names
GRACE LIVING CENTER - STILLWATER, Stillwater Creek Skilled Nursing and Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF RCM)
(405) 943-1144
Entity
Organization

Contact information

Practice address
1215 W 10TH AVE, STILLWATER, OK 74074-5420
(405) 372-1000
(405) 377-7051
Mailing address
1215 W 10TH AVE, STILLWATER, OK 74074-5420
(405) 372-1000
(405) 377-7051

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH6004-6004
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100810490B
OK
Enumeration date
09/14/2006
Last updated
02/05/2026
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