Organization
UNITED SENIOR PROPERTIES OF SHAWNEE, LLC
Active
Other names
Avonlea Cottage of Shawnee
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THOMA (MEMBER)
(913) 492-7800
Entity
Organization
Contact information
Practice address
789 E COUNTRY GROVE DR, SHAWNEE, OK 74804-1404
(405) 273-3323
Mailing address
789 E COUNTRY GROVE DR, SHAWNEE, OK 74804-1404
(405) 273-3323
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL6302
OK
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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