Organization
JENKS LIVING CENTERS LLC
Active
Other names
GRACE LIVING CENTER - JENKS, Grace Skilled Nursing and Therapy Jenks
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DIMOND (MANAGER)
(405) 943-1144
Entity
Organization
Contact information
Practice address
711 N 5TH ST, JENKS, OK 74037-3343
(918) 299-8508
(918) 296-5612
Mailing address
711 N 5TH ST, JENKS, OK 74037-3343
(918) 299-8508
(918) 296-5612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH7202-7202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100686100B
—
OK
Enumeration date
09/14/2006
Last updated
10/14/2025
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