Organization
HNMS, LLC
Active
Other names
Shawn Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY SMART (ADMINISTRATOR/MEMBER)
(580) 765-3364
Entity
Organization
Contact information
Practice address
2024 TURNER ST, PONCA CITY, OK 74604-2732
(580) 765-3364
Mailing address
521 MAIN ST, VAN BUREN, AR 72956-5109
(479) 410-1740
(479) 410-1596
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH3607
OK
Other
Enumeration date
09/19/2007
Last updated
06/23/2008
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