Organization
MILLERCOZYHOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY BREWER (ASST. ADMINISTRATOR)
(918) 256-7291
Entity
Organization
Contact information
Practice address
203 N GUNTER ST, VINITA, OK 74301-2903
(918) 256-3796
(918) 256-3692
Mailing address
PO BOX 459, VINITA, OK 74301-0459
(918) 256-3796
(918) 256-3692
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC1803-1803
OK
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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