Organization
POCOLA NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS HENSLEY (ADMINISTRATOR)
(918) 436-2228
Entity
Organization
Contact information
Practice address
200 HOME STREET, POCOLA, OK 74902
(918) 436-2228
Mailing address
PO BOX 869, POCOLA, OK 74902-0869
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
100777480A
OK
Other
Enumeration date
02/28/2007
Last updated
01/23/2012
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