Organization
BRADCO INC
Active
Other names
Chandler Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RISING (ADMINISTRATOR)
(405) 258-1131
Entity
Organization
Contact information
Practice address
601 W 1ST ST, CHANDLER, OK 74834-2441
(405) 258-1131
(405) 258-5023
Mailing address
PO BOX 429, CHANDLER, OK 74834-0429
(405) 258-1131
(405) 258-5023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH41024102
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100776610A
—
OK
Enumeration date
10/03/2006
Last updated
05/16/2016
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