Organization
NORTH COUNTY SENIOR LIVING LLC
Active
Other names
North County Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LEE PILGRIM (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
523 N 22ND ST, COLLINSVILLE, OK 74021-1636
(918) 371-1919
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7218-7218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200509530B
—
OK
Enumeration date
10/08/2014
Last updated
06/05/2020
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