Organization
PLEASANT VALLEY HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY NEVITT (ADMINISTRATOR)
(918) 682-5391
Entity
Organization
Contact information
Practice address
1120 ILLINOIS ST, MUSKOGEE, OK 74403-7411
(918) 682-5391
(918) 684-3295
Mailing address
1120 ILLINOIS ST, MUSKOGEE, OK 74403-7411
(918) 682-5391
(918) 684-3295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH51095109
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774600A
—
OK
Enumeration date
09/28/2006
Last updated
10/29/2008
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