Organization
NURSING CENTER OF THE SOUTHWEST LLC
Active
Other names
PLANTATION VILLAGE NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. B. WADE BRINKMAN (ADMINISTRATOR)
(580) 480-1800
Entity
Organization
Contact information
Practice address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Mailing address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH3305-3305
OK
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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