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Organization

SCG OAK RIDGE LLC

Active
Other names
Oakridge Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (PRESIDENT)
(813) 341-2700
Entity
Organization

Contact information

Practice address
1100 OAKRIDGE DR, DURANT, OK 74701-2620
(580) 924-3244
(580) 924-0099
Mailing address
1240 MARBELLA PLAZA DR., TAMPA, FL 33619-7905
(813) 341-2700
(813) 676-0127

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0706-0706
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100773180A
OK
Enumeration date
10/14/2005
Last updated
12/18/2009
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