Organization
COMMUNITY NURSING CENTER OF OKC, 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
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/04/2018
Last updated
12/19/2023
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