Organization
HARMON COUNTY HEALTHCARE TRUST AUTHORITY
Active
Parent organization
HARMON COUNTY HEALTHCARE TRUST AUTHORITY
Other names
Colonial Manor II
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARMON COUNTY HEALTHCARE TRUST AUTHORITY
Authorized official
MS. HOPE SMITH (ADMINISTRATOR)
(580) 688-9431
Entity
Organization
Contact information
Practice address
120 W VERSA ST, HOLLIS, OK 73550-3046
(580) 688-9431
(580) 688-2491
Mailing address
PO BOX 793, HOLLIS, OK 73550-0793
(580) 688-9431
(580) 688-2491
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2902-2902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772150A
—
OK
Enumeration date
09/30/2005
Last updated
06/17/2008
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