Organization
WALNUT GROVE LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY WAYNETTA BENNETT (ADMINISTRATOR)
(918) 423-7373
Entity
Organization
Contact information
Practice address
1001 S GEORGE NIGH EXPWY, MCALESTER, OK 74502
(918) 423-7373
(918) 423-7156
Mailing address
PO BOX 3303, 1001 S GEORGE NIGH EXPWY, MCALESTER, OK 74502
(918) 423-7373
(918) 423-7156
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
OK
Other
Enumeration date
04/05/2006
Last updated
08/22/2020
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