Organization
HARMON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Colonial Manor I
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN CASTLEMAN (CHAIRMAN OF THE BOARD)
(580) 688-3531
Entity
Organization
Contact information
Practice address
400 E SYCAMORE ST, HOLLIS, OK 73550-1436
(580) 688-9114
(580) 688-2955
Mailing address
PO BOX 793, HOLLIS, OK 73550-0793
(580) 688-9114
(580) 688-2955
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2901
OK
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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