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Organization

TALIHINA MANOR LLC

Active
Other names
Talihina Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BRANDON MORGAN (PRESIDETN)
(918) 235-6443
Entity
Organization

Contact information

Practice address
301 EMMERT, TALIHINA, OK 74571
(918) 567-2279
(918) 567-3239
Mailing address
301 EMMERT ST., TALIHINA, OK 74571
(918) 567-2279

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100771480A
OK
Enumeration date
10/05/2005
Last updated
03/22/2021
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