Organization
WCR ENTERPRISES INC
Active
Other names
English Village Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN C WINTERS (ADMINISTRATOR)
(580) 477-1133
Entity
Organization
Contact information
Practice address
1515 CANTERBURY BLVD, ALTUS, OK 73521-4917
(580) 477-1133
(580) 477-1136
Mailing address
1515 CANTERBURY BLVD, ALTUS, OK 73521-4917
(580) 477-1133
(580) 477-1136
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH33023302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775370A
—
OK
Enumeration date
07/30/2006
Last updated
07/18/2008
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