Organization
LANE NURSING & VENTILATOR CARE LLC
Active
Other names
Inola Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASEY L DAVES MS, SLP, LNHA (OWNER/OPERATOR)
(918) 994-4300
Entity
Organization
Contact information
Practice address
400 N BROADWAY, INOLA, OK 74036-9424
(918) 543-8800
(918) 543-8801
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
NH6606-6606
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200542340A
—
OK
Enumeration date
01/25/2013
Last updated
11/12/2020
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