Organization
IHS STONEGATE NURSING CENTER INC
Active
Other names
Stonegate Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BART T REED (PRESIDENT)
(580) 436-0950
Entity
Organization
Contact information
Practice address
130 E 6TH STREET, STONEWALL, OK 74871-0277
(580) 436-0950
(580) 436-0950
Mailing address
130 E 6TH STREET, STONEWALL, OK 74871-0277
(580) 436-0950
(580) 436-0950
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH6205-6205
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777760A
—
OK
Enumeration date
06/30/2005
Last updated
12/23/2009
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