Organization
STATE OF OKLAHOMA
Active
Parent organization
STATE OF OKLAHOMA
Other names
Board of Regents for the Univ of OK on behalf of George Nigh SNF
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF OKLAHOMA
Authorized official
MRS. KAREN S KNIGHT (BUSINESS MANAGER)
(918) 756-9211
Entity
Organization
Contact information
Practice address
900 E. AIRPORT RD., OKMULGEE, OK 74447
(918) 756-9211
(918) 756-9452
Mailing address
PO BOX 1118, OKMULGEE, OK 74447-1118
(918) 756-9211
(918) 756-9452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5609
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH5609
LIC
OK
Enumeration date
02/08/2008
Last updated
09/11/2009
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