Organization
SERVANT LIVING CENTER-THOMAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D PILGRIM (MANAGING MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
601 E FRISCO, THOMAS, OK 73669
(580) 661-3260
(580) 661-3263
Mailing address
129 W 1ST STREET, SUITE B, EDMOND, OK 73003
(405) 285-8166
(405) 285-8177
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2004-2004
OK
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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