Organization
HASKELL CARE CENTER LLC
Active
Other names
haskell care center
Organization subpart
No
Provider details
NPI number
Authorized official
PAM HUMPHREYS (OWNER)
(405) 379-0039
Entity
Organization
Contact information
Practice address
405 N CHOCTAW AVENUE, HASKELL, OK 74436-1319
(918) 482-3310
(918) 482-6801
Mailing address
405 N CHOCTAW AVENUE, HASKELL, OK 74436-1319
(918) 482-3310
(918) 482-6901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5104-5104
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772190A
—
OK
Enumeration date
07/28/2005
Last updated
01/06/2025
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