Organization
SILOAM OPERATIONS LLC
Active
Other names
Eastok Cottage #1
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PILGRIM (MANAGER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
3325 FRENCH PARK DR STE 6, EDMOND, OK 73034-7265
(405) 285-8166
(405) 563-9447
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
(405) 563-9447
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
06/05/2020
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