Organization
SOUTHWEST LTC - NW OKC, LLC
Active
Other names
Northwest Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE JD (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
(405) 842-6601
(405) 810-8482
Mailing address
1518 LEGACY DR, SUITE 110, FRISCO, TX 75034-6038
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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