Organization
SENIOR NH, LLC
Active
Other names
Enid Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BROGDON (MANAGER)
(770) 650-8793
Entity
Organization
Contact information
Practice address
410 N 30TH ST, ENID, OK 73701-3774
(580) 237-1973
(580) 237-0755
Mailing address
410 N 30TH ST, ENID, OK 73701-3774
(580) 237-1973
(580) 237-0755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058950A
—
OK
Enumeration date
02/17/2011
Last updated
01/19/2022
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