Organization
MUSKOGEE HEALTH SERVICES LLC
Active
Other names
Muskogee Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM M MONTGOMERY (OWNER)
(918) 683-9407
Entity
Organization
Contact information
Practice address
602 N M ST, MUSKOGEE, OK 74403-4332
(918) 682-9232
(918) 686-8629
Mailing address
1929 BETTY JANE LN, MUSKOGEE, OK 74403-1581
(918) 683-9407
(918) 683-1979
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH51085108
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200047290A
—
OK
Enumeration date
06/18/2006
Last updated
11/13/2008
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