Organization
DAVIS HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY L. DAVES (AUTHORIZED OFFICIAL)
(918) 994-4300
Entity
Organization
Contact information
Practice address
505 S 7TH ST, DAVIS, OK 73030-3136
(580) 369-2653
(580) 369-2445
Mailing address
705 W QUEENS ST, BROKEN ARROW, OK 74012-1767
(918) 994-4300
(918) 994-4301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5002
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774540A
—
OK
Enumeration date
03/13/2008
Last updated
09/12/2017
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