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Organization

PARKER PLACE HOME 2, LLC.

Active
Parent organization
PARKER PLACE LIVING CENTERS, LLC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARKER PLACE LIVING CENTERS, LLC.
Authorized official
MRS. SALLY HEATHER CLEMENT LNHA (OWNER/ADMINISTRATOR)
(940) 337-6777
Entity
Organization

Contact information

Practice address
7514 NW SUN BLVD., LAWTON, OK 73505
(940) 337-6777
Mailing address
7510 NW SUN BLVD., LAWTON, OK 73505
(940) 337-6777

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Enumeration date
02/01/2022
Last updated
02/01/2022
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