Organization
GLENHAVEN CORPORATION
Active
Other names
Glenhaven Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA HAMILTON (ADMINISTRATOR)
(405) 224-0909
Entity
Organization
Contact information
Practice address
3003 W IOWA AVE, CHICKASHA, OK 73018-6026
(405) 224-0909
(405) 224-6975
Mailing address
PO BOX 400, 3003 IOWA, CHICKASHA, OK 73023-0400
(405) 224-0909
(405) 224-6975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
CC2601-2601
OK
314000000X
Skilled Nursing Facility
Primary
CC2601-2601
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061060A
—
OK
Enumeration date
03/14/2007
Last updated
03/06/2026
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