Organization
WAGONER HEALTH & REHAB LLC
Active
Other names
Wagoner Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD MONTGOMERY (MEMBER)
(479) 715-6759
Entity
Organization
Contact information
Practice address
205 N LINCOLN AVE, WAGONER, OK 74467-3915
(918) 485-2203
Mailing address
9 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
(479) 715-6759
(479) 715-6922
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH732
OK
Other
Enumeration date
10/08/2015
Last updated
06/07/2024
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