Organization
SERVANT LIVING CENTER - BEGGS, LLC
Active
Other names
Country Lane Cottage 5
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PILGRIM (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
511 N CHIPPEWA, BEGGS, OK 74421-2053
(918) 267-3362
(405) 563-9447
Mailing address
3325 FRENCH PARK DR, SUITE 6, EDMOND, OK 73034-7277
(405) 285-8166
(405) 563-9447
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
NH5619
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NH5619
—
OK
Enumeration date
03/31/2017
Last updated
03/31/2017
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