Organization
BRENTWOOD EXTENDED CARE & REHAB. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE MONTGOMERY (OWNER)
(918) 683-9407
Entity
Organization
Contact information
Practice address
841 N 38TH ST, MUSKOGEE, OK 74401-2056
(918) 683-8070
(918) 683-8234
Mailing address
1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
(918) 683-9407
(918) 683-1979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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