Organization
THE ATOKA GROUP, LLC
Active
Other names
ATOKA COLONIAL MANOR NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA POWER (CFO)
(903) 534-8667
Entity
Organization
Contact information
Practice address
1500 S VIRGINIA AVE, ATOKA, OK 74525-3246
(580) 889-2500
(580) 889-2888
Mailing address
1901 RICKETY LN, STE 208, TYLER, TX 75703-1702
(903) 534-8667
(903) 509-0026
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH0302-0302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20038500A
—
OK
Enumeration date
12/28/2006
Last updated
08/22/2020
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