Organization
FCC OF KINGSTON LLC
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SCEARCE (MANAGING MEMBER)
(405) 905-9133
Entity
Organization
Contact information
Practice address
701 HIGHWAY 32, KINGSTON, OK 73439-8073
(580) 564-2216
(580) 564-2298
Mailing address
701 HIGHWAY 32, KINGSTON, OK 73439-8073
(580) 564-2216
(580) 564-2298
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4802-4802
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH-4802-4802
NURSING HOME ID
OK
Enumeration date
10/05/2012
Last updated
10/16/2024
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