Organization
MEDI-PLEX NURSING CENTERS, INC.
Active
Other names
Willow Haven Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA TAYLOR (VP IN CHARGE OF REIMBURSEMENT)
(918) 775-6200
Entity
Organization
Contact information
Practice address
1301 N 5TH ST, TONKAWA, OK 74653-1513
(580) 628-2529
(580) 628-3517
Mailing address
1301 N 5TH ST, TONKAWA, OK 74653-1513
(580) 628-2529
(580) 628-3517
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
313M00000X
OK
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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