Organization
HASKELL COUNTY NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUND STITES (OWNER)
(918) 775-9161
Entity
Organization
Contact information
Practice address
1402 NW 7TH ST, STIGLER, OK 74462-2791
(918) 967-3381
(918) 967-3382
Mailing address
1402 NW 7TH ST, STIGLER, OK 74462-2791
(918) 967-3381
(918) 967-3382
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH3102-3102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772360A
—
OK
Enumeration date
07/07/2005
Last updated
10/16/2009
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