Organization
PF SOUTH YUKON SNF OPS, LLC
Active
Other names
Ranchwood Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CHANCE (AUTHORIZED OFFICER)
(214) 725-2837
Entity
Organization
Contact information
Practice address
824 S YUKON PKWY, YUKON, OK 73099-4584
(405) 354-2022
(405) 354-8461
Mailing address
1500 WATERS RIDGE DR, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4806
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5604-5604
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200060680A
—
OK
Enumeration date
01/18/2006
Last updated
11/12/2020
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