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Organization

CUSHING NURSING CENTER, INC

Active
Other names
Rest Haven Nursing Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY W YOUNG (SECRETARY)
(918) 622-4799
Entity
Organization

Contact information

Practice address
310 N CENTRAL AVE, CUSHING, OK 74023-3204
(918) 225-1477
(918) 225-9159
Mailing address
4500 S GARNETT RD, SUITE 610, TULSA, OK 74146-5229
(918) 622-4799
(918) 622-4798

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH60036003
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000375343001
BC/BS PROVIDER ID
OK
Enumeration date
10/20/2005
Last updated
12/04/2007
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