Organization
FORT GIBSON MANAGEMENT LLC
Active
Other names
FORT GIBSON NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY JANE CARTER (ADMINISTRATOR)
(918) 478-2456
Entity
Organization
Contact information
Practice address
205 E POPLAR, FORT GIBSON, OK 74431
(918) 478-2456
(918) 478-3258
Mailing address
PO BOX 190, FORT GIBSON, OK 74434-0190
(918) 478-2456
(918) 478-3250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5103-5103
OK
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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