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Organization

CHISHOLM TRAIL RETIREMENT COMMUNITY

Active
Other names
Chisholm Trail Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DUSTIN REX COX (OWNER)
(580) 470-8600
Entity
Organization

Contact information

Practice address
625 CHISHOLM TRAIL PKWY, DUNCAN, OK 73533-2205
(580) 470-8600
Mailing address
625 CHISHOLM TRAIL PKWY, DUNCAN, OK 73533-2205
(580) 470-8600

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL 6903-6903
OK

Other

Enumeration date
10/13/2009
Last updated
10/13/2009
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