Organization
WYNNEWOOD NURSING CENTER LLC
Active
Other names
GRACE LIVING CENTER - WYNNEWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DIMOND (MANAGER)
(405) 943-1144
Entity
Organization
Contact information
Practice address
810 E CALIFORNIA ST, WYNNEWOOD, OK 73098-3207
(405) 665-2330
(405) 665-4378
Mailing address
810 E CALIFORNIA ST, WYNNEWOOD, OK 73098-3207
(405) 665-2330
(405) 665-4378
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2506-2506
OK
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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