Organization
CHICKASHA NURSING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M ROBERTSON (ADMINISTRATOR)
(405) 224-3593
Entity
Organization
Contact information
Practice address
2701 S 9TH, CHICKASHA, OK 73018-6739
(405) 224-3593
Mailing address
2701 S 9TH, CHICKASHA, OK 73018-6739
(405) 224-3593
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37E100
—
OK
Enumeration date
10/27/2005
Last updated
04/27/2021
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