Organization
BEAVER COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE LAROYCE BROWN (BUSINESS OFFICE MANAGER)
(580) 625-4571
Entity
Organization
Contact information
Practice address
200 EAST 8TH STREET, BEAVER, OK 73932
(580) 625-4571
(580) 625-4891
Mailing address
PO BOX 220, BEAVER, OK 73932-0220
(580) 625-4571
(580) 625-4891
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0401-0401
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771550A
—
OK
Enumeration date
11/09/2005
Last updated
08/05/2024
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