Organization
NW 61ST NURSING, LLC
Active
Other names
Northwest Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD P GENTRY (PRESIDENT & CEO)
(678) 869-5116
Entity
Organization
Contact information
Practice address
2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
(405) 842-6601
(405) 810-8482
Mailing address
2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
(405) 842-6601
(405) 810-8482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5524-5524
OK
Other
Enumeration date
01/08/2013
Last updated
05/22/2013
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