Organization
SHAMROCK CARE CENTERS LLC
Active
Other names
First Shamrock Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRANDON MORGAN (CEO)
(479) 769-5535
Entity
Organization
Contact information
Practice address
1415 S MAIN ST, KINGFISHER, OK 73750-4403
(405) 375-3157
(405) 375-6078
Mailing address
1415 S. MAIN, KINGFISHER, OK 73750
(405) 375-3157
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100778600A
—
OK
Enumeration date
10/04/2005
Last updated
10/03/2019
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