Organization
THUNDER CARE AND REHABILITATION LLC
Active
Other names
Thunder Care and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
BART REED (MANAGER)
(580) 399-7920
Entity
Organization
Contact information
Practice address
2120 N BROADWAY ST, MOORE, OK 73160-4408
(405) 747-6154
Mailing address
131 N BROADWAY AVE, ADA, OK 74820-5003
(580) 436-0950
(580) 436-0953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1402-1402
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084290C
—
OK
Enumeration date
07/25/2016
Last updated
10/20/2022
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