Organization
UNITED METHODIST RETIREMENT & HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL R SEWELL (ADMINISTRATOR)
(580) 323-0912
Entity
Organization
Contact information
Practice address
2316 W MODELLE AVE, CLINTON, OK 73601-3722
(580) 323-0912
(580) 323-4935
Mailing address
2316 W MODELLE AVE, PO BOX 578, CLINTON, OK 73601-3722
(580) 323-0912
(580) 323-4935
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773400A
—
OK
Enumeration date
11/20/2006
Last updated
01/12/2012
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