Organization
EL RENO NURSING CENTER LLC
Active
Other names
GRACE LIVING CENTER - EL RENO
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF REIMBURSEMENT)
(405) 943-1144
Entity
Organization
Contact information
Practice address
1901 PARKVIEW DR, EL RENO, OK 73036-2105
(405) 262-2833
(405) 262-2878
Mailing address
1901 PARKVIEW DR, EL RENO, OK 73036-2105
(405) 262-2833
(405) 262-2878
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0903-0903
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100810640B
—
OK
Enumeration date
09/14/2006
Last updated
02/05/2026
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