Organization
SHAWNEE CARE CENTER LLC
Active
Other names
Shawnee Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON MORGAN (PRESIDENT)
(918) 235-6443
Entity
Organization
Contact information
Practice address
1202 W GILMORE ST, SHAWNEE, OK 74804-1729
(405) 273-8043
(405) 273-6505
Mailing address
1202 W GILMORE ST, SHAWNEE, OK 74804-1729
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777640A
—
OK
Enumeration date
10/06/2005
Last updated
03/22/2021
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