Organization
BETTY ANN NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE NADER (OWNER)
(918) 786-2275
Entity
Organization
Contact information
Practice address
1400 S MAIN ST, GROVE, OK 74344-5310
(918) 786-2275
Mailing address
1400 S MAIN ST, GROVE, OK 74344-5310
(918) 786-2275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 2101-2101
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053270A
—
OK
Enumeration date
09/22/2006
Last updated
09/16/2011
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