Organization
CBW INC
Active
Other names
Golden Years Rescare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ROSE WEBB (PRESIDENT)
(405) 527-5473
Entity
Organization
Contact information
Practice address
308 W 4TH ST, KONAWA, OK 74849-1612
(580) 925-3618
Mailing address
PO BOX 339, KONAWA, OK 74849-0339
(580) 925-3618
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
RO67-RO67
OK
Other
Enumeration date
03/03/2007
Last updated
08/22/2020
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