Organization
WADLEY CARE CENTER
Active
Parent organization
WADLEY CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WADLEY CARE CENTER
Authorized official
MR. DAVID WADLEY (OWNER)
(405) 527-7798
Entity
Organization
Contact information
Practice address
801 N. 6TH STREET, PURCELL, OK 73080
(405) 527-7798
(405) 527-5175
Mailing address
P.O. BOX 1675, PURCELL, OK 73080-1675
(405) 527-7798
(405) 527-5175
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
375286
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777470A
—
OK
Enumeration date
06/22/2005
Last updated
11/01/2013
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