Organization
TIDWELL FAMILY HEALTHCARE, LLC
Active
Other names
Quinton Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN TIDWELL (MANAGER)
(918) 465-9300
Entity
Organization
Contact information
Practice address
1209 W MAIN ST, QUINTON, OK 74561
(918) 469-2600
(918) 469-2208
Mailing address
225 W MAIN ST, WILBURTON, OK 74578-4045
(918) 465-9300
(918) 465-9303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH 6106-6106
OK
Other
Enumeration date
10/09/2015
Last updated
07/07/2023
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