Organization
WOODVIEW HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM C COBLE (OWNER)
(580) 226-3055
Entity
Organization
Contact information
Practice address
1630 3RD AVE NE, ARDMORE, OK 73401-7726
(580) 226-5454
Mailing address
1630 3RD AVE NE, ARDMORE, OK 73401-7726
(580) 226-5454
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH1008-1008
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774620A
—
OK
Enumeration date
07/20/2005
Last updated
01/20/2016
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