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Organization

ADA CARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BART REED (MANAGER)
(580) 436-0950
Entity
Organization

Contact information

Practice address
931 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 332-3631
Mailing address
931 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 332-3631

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH6201-6201
OK
314000000X
Skilled Nursing Facility
NH6201-6201
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100773320A
OK
Enumeration date
08/20/2009
Last updated
04/07/2020
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