Organization
DOGWOOD CREEK RETIREMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM MCCONNELL (ADMINISTRATOR)
(918) 683-5100
Entity
Organization
Contact information
Practice address
3230 E SHAWNEE RD, MUSKOGEE, OK 74403-1813
(918) 683-5100
Mailing address
3230 E SHAWNEE RD, MUSKOGEE, OK 74403-1813
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL51025102
OK
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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