Organization
JLG HEALTHCARE LLC
Active
Other names
Elk Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF L GREGSTON (AUTHORIZED OFFICIAL)
(580) 658-2319
Entity
Organization
Contact information
Practice address
811 W ELK, DUNCAN, OK 73533-1196
(580) 658-2319
Mailing address
1603 TIMBERCREEK DR, DUNCAN, OK 73533-1196
(580) 658-2319
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH6902-6902
OK
314000000X
Skilled Nursing Facility
Primary
NH6902-6902
OK
Other
Enumeration date
08/28/2014
Last updated
05/16/2016
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