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Organization

THI OF OKLAHOMA AT EDMOND, LLC

Active
Other names
Edmond Specialty Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS WILLIAMS (PRESIDENT)
(405) 341-8150
Entity
Organization

Contact information

Practice address
1100 E 9TH ST, EDMOND, OK 73034-5705
(405) 341-8150
(405) 341-0105
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary

Other

Enumeration date
10/07/2006
Last updated
03/19/2008
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