Organization
CLAREMORE NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT L LESSLEY (PRESIDENT)
(918) 283-4306
Entity
Organization
Contact information
Practice address
920 E 16TH ST, CLAREMORE, OK 74017-3165
(918) 341-4857
Mailing address
920 E 16TH ST, CLAREMORE, OK 74017-3165
(918) 341-4857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH6601-6601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771460A
—
OK
Enumeration date
08/26/2005
Last updated
11/23/2011
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