Organization
FAMILY CARE CENTERS OF OKLAHOMA, LLC
Active
Other names
Family Care Center of Kingston
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DRENDA L. COX RN (MANAGING PARTNER/TREASURER)
(918) 397-0007
Entity
Organization
Contact information
Practice address
701 HWY 32, HC 71, KINGSTON, OK 73439-9701
(580) 564-2216
(580) 564-2298
Mailing address
HC 71 BOX 83, KINGSTON, OK 73439-9701
(580) 546-2216
(580) 564-2298
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH58035803
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100847060A
—
OK
Enumeration date
09/27/2006
Last updated
06/21/2010
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