Organization
C.H.R.E L.L.C.
Active
Other names
Coweta Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA SUE COX (ADMINISTRATOR)
(918) 619-2204
Entity
Organization
Contact information
Practice address
30049 E. 151ST ST. SOUTH, COWETA, OK 74429
(918) 486-2166
(918) 486-2166
Mailing address
P.O. BOX 490, 30049 E. 151ST ST. SOUTH, COWETA, OK 74429
(918) 486-2166
(918) 486-6308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
NH7301
OK
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Enumeration date
09/21/2007
Last updated
04/14/2016
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