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Organization

SPRINGHILL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUBREY MONTGOMERY (MEMBER)
(479) 236-9507
Entity
Organization

Contact information

Practice address
1400 W 1ST ST, WEWOKA, OK 74884-5004
(479) 250-5558
(479) 715-6922
Mailing address
444991 EAST LOOP ROAD, GORE, OK 74435
(479) 250-5558
(479) 715-6922

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NH6705-6705
NH LICENSE
OK
Enumeration date
04/20/2021
Last updated
04/20/2021
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