Organization
GREGSTON NURSING HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF GREGSTON (ADMINISTRATOR)
(580) 658-2319
Entity
Organization
Contact information
Practice address
711 S BROADWAY ST, MARLOW, OK 73055-3313
(580) 658-2319
(580) 658-6943
Mailing address
711 S BROADWAY ST, MARLOW, OK 73055-3313
(580) 658-2319
(580) 658-6943
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH69036903
OK
314000000X
Skilled Nursing Facility
Primary
NH69036903
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773070A
—
OK
Enumeration date
06/25/2006
Last updated
02/17/2015
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