Organization
HILLDALE NURSING FACILITY, INC.
Active
Other names
Coweta Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SHANKLE (ADMINISTRATOR)
(918) 486-2166
Entity
Organization
Contact information
Practice address
30049 E 151ST STREET SOUTH, COWETA, OK 74429
(918) 486-2166
(918) 486-6308
Mailing address
PO BOX 490, COWETA, OK 74429-0490
(918) 486-2166
(918) 486-6308
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH7301-7301
OK
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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