Organization
GREENBRIER NURSING HOME NUMBER TWO, INC
Active
Other names
GREENBRIER NH #2, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
JIM THORPE (ADMINISTRATOR)
(580) 233-0121
Entity
Organization
Contact information
Practice address
1119 E GARRIOTT RD, ENID, OK 73701-6151
(580) 223-0121
(580) 233-3755
Mailing address
1119 E GARRIOTT RD, ENID, OK 73701-6151
(580) 223-0121
(580) 233-3755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2404-2404
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775230A
—
OK
Enumeration date
07/28/2005
Last updated
01/06/2012
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