Organization
MEDI-HOME OF ARKOMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY RALPH NICHOLS (ADMINISTRATOR)
(918) 875-3107
Entity
Organization
Contact information
Practice address
1008 ARKANSAS STREET, ARKOMA, OK 74901-0410
(918) 875-3107
(918) 875-3021
Mailing address
PO BOX 410, ARKOMA, OK 74901-0410
(918) 875-3107
(918) 875-3021
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH4003-4003
OK
Other
Enumeration date
09/06/2006
Last updated
08/27/2007
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