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Organization

LITTLE BIRD NURSING HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORENE BISHOP (ADMINISTRATOR/OWNER)
(580) 772-3993
Entity
Organization

Contact information

Practice address
801 N WASHINGTON ST, WEATHERFORD, OK 73096-4032
(580) 772-3993
Mailing address
PO BOX 608, WEATHERFORD, OK 73096-0608
(580) 772-3993
(580) 774-1032

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3700379
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3700379
OK
Enumeration date
05/23/2005
Last updated
08/22/2020
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