Organization
OPCO MM MCALESTER, OK, LLC
Active
Other names
Mitchell Manor Convalescent Home
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (MANAGER)
(773) 645-9246
Entity
Organization
Contact information
Practice address
315 W ELECTRIC AVE, MCALESTER, OK 74501-3600
(918) 423-4661
Mailing address
2045 W GRAND AVE STE B-34572, CHICAGO, IL 60612-1576
(773) 645-9246
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Enumeration date
01/18/2018
Last updated
10/29/2024
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