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Organization

COMMUNITY NURSING CENTER OF OKLAHOMA CITY, LLC

Active
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Organization

COMMUNITY NURSING CENTER OF OKLAHOMA CITY, LLC

Active
Other names
Diversity Family Health
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL ROOMS ARNP (PRACTITIONER)
(405) 388-2258
Entity
Organization

Contact information

Practice address
1211 N SHARTEL AVE STE 300, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026
Mailing address
1211 N SHARTEL AVE STE 300, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200750040
OK
Enumeration date
01/04/2018
Last updated
08/17/2026
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