Organization
EASTERN OKLAHOMA NURSING HOMES, INC.
Active
Other names
Latimer Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN REAGER (ADMINISTRATOR)
(918) 465-2255
Entity
Organization
Contact information
Practice address
103 SW 9TH ST, WILBURTON, OK 74578-3604
(918) 465-2255
(918) 465-3490
Mailing address
PO BOX 508, WILBURTON, OK 74578-0508
(918) 465-2255
(918) 465-3490
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH3902-3902
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37E139
—
OK
Enumeration date
05/18/2007
Last updated
08/22/2020
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