Organization
SOLARA HOSPITAL SHAWNEE, LLC
Active
Other names
Cornerstone Specialty Hospitals Shawnee
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
1900 GORDON COOPER DR, 2ND FLOOR, SHAWNEE, OK 74801-8603
(405) 395-5800
(405) 395-5802
Mailing address
2200 ROSS AVE, STE 5400, DALLAS, TX 75201-7918
(469) 621-6700
(469) 621-6678
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2363
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200080160A
—
OK
Enumeration date
05/23/2006
Last updated
03/08/2024
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