Organization
WELLINGTON HILLS NURSING CENTER INC
Active
Other names
Wellington Hills Living and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES FRANCIS HARDY III (PRESIDENT)
(918) 691-1051
Entity
Organization
Contact information
Practice address
607 WOODLAND ST, EUFAULA, OK 74432-3611
(918) 689-2508
(918) 689-2555
Mailing address
607 WOODLAND ST, EUFAULA, OK 74432-3611
(918) 689-2508
(918) 689-2555
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH4604
OK
314000000X
Skilled Nursing Facility
Primary
NH4604
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000375316001
BLUE CROSS BLUE SHIELD
OK
05
—
100777410B
—
OK
Enumeration date
10/11/2005
Last updated
11/11/2008
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