Organization
LIVING CENTER, LLC
Active
Other names
The Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BROGDON (MANAGER)
(770) 650-8793
Entity
Organization
Contact information
Practice address
1409 N 17TH ST, ENID, OK 73701-2685
(580) 234-1411
(580) 234-1520
Mailing address
1409 N 17TH ST, ENID, OK 73701-2685
(580) 234-1411
(580) 234-1520
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059330
—
OK
Enumeration date
02/18/2011
Last updated
01/19/2022
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