Organization
BIXBY HEALTH AND REHABILITATION, LLC
Active
Other names
Southtown Nursing and Ventilator Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EDWARD DAVES (MANAGING MEMBER)
(580) 286-2537
Entity
Organization
Contact information
Practice address
76 W RACHEL ST, BIXBY, OK 74008-4908
(918) 366-4491
Mailing address
2310 S CENTRAL, IDABEL, OK 74745-7916
(580) 286-2664
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH7203-7203
OK
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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