Organization
KENMETAL, LLC
Active
Other names
Kenwood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BROGDON (MANAGER)
(770) 650-8793
Entity
Organization
Contact information
Practice address
502 W PINE AVE, ENID, OK 73701-3032
(580) 233-2722
(580) 234-1503
Mailing address
502 W PINE AVE, ENID, OK 73701-3032
(580) 233-2722
(580) 234-1503
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059530A
—
OK
Enumeration date
02/18/2011
Last updated
01/19/2022
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