Organization
OKEMAH CARE CENTER, LLC
Active
Other names
OKEMAH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PAM HUMPHREYS (OWNER)
(405) 379-0039
Entity
Organization
Contact information
Practice address
112 N WOODY GUTHRIE ST, OKEMAH, OK 74859-2642
(918) 623-1126
(918) 623-1765
Mailing address
112 N WOODY GUTHRIE ST, OKEMAH, OK 74859-2642
(918) 623-1126
(918) 623-1765
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH5404-5404
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100778260A
—
OK
Enumeration date
07/28/2005
Last updated
01/06/2025
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