Organization
LOCUST GROVE CARE CENTER LLC
Active
Other names
Parkhill South Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA TAYLOR (VP IN CHARGE OF REIMBURSEMENT)
(918) 775-6200
Entity
Organization
Contact information
Practice address
117 WYANDOTTE & ROSS, LOCUST GROVE, OK 74352
(918) 479-5784
(918) 479-6254
Mailing address
201 N ELM ST, SUITE A, SALLISAW, OK 74955-4633
(918) 775-6200
(918) 775-5643
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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