Organization
LATIMER COUNTY HOSPITAL RETIREMENT CENTER, LLC
Active
Other names
Latimer County Hospital Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL JEFFERY (CHAIR PERSON)
(918) 465-5020
Entity
Organization
Contact information
Practice address
900 RANCHWOOD DR, WILBURTON, OK 74578-3630
(918) 465-5020
(918) 465-5007
Mailing address
900 RANCHWOOD DR, WILBURTON, OK 74578-3630
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH3903
OK
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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