Organization
SHATTUCK NURSING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WILLIAMS (ADMINISTRATOR)
(580) 938-2501
Entity
Organization
Contact information
Practice address
201 N ALFALFA ST, SHATTUCK, OK 73858-7612
(580) 938-2501
(580) 938-5410
Mailing address
201 N ALFALFA ST, SHATTUCK, OK 73858-7612
(580) 938-2501
(580) 938-5410
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2301-2301
OK
Other
Enumeration date
10/26/2006
Last updated
08/27/2015
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