Organization
MH SNF OPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUZETTE BAUCOM (TREASURER)
(479) 312-8280
Entity
Organization
Contact information
Practice address
1305 SE ADAMS ST, IDABEL, OK 74745-5240
(580) 286-1065
(580) 286-3926
Mailing address
1305 SE ADAMS ST, IDABEL, OK 74745-5240
(479) 312-8280
(580) 286-3926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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