Organization
BARNSDALL HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET HARDIN (OWNER ADMINISTRATOR)
(918) 847-2572
Entity
Organization
Contact information
Practice address
411 S 4TH, BARNSDALL, OK 74002-0000
(918) 847-2572
(918) 847-2698
Mailing address
PO BOX 499, BARNSDALL, OK 74002-0499
(918) 847-2572
(918) 847-2698
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH5701-5701
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774040A
—
OK
05
—
100774040C
—
OK
01
—
730789665
PREVIOUS TAX ID
OK
Enumeration date
09/20/2006
Last updated
01/29/2018
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