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Organization

SPANISH COVE HOUSING AUTHORITY

Active
Other names
Spanish Cove Retirement Village
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD N. BLOSE (CEO & EXECUTIVE ADMINISTRATOR)
(405) 354-1901
Entity
Organization

Contact information

Practice address
11 PALM AVE, YUKON, OK 73099-5645
(405) 354-1901
(405) 354-6584
Mailing address
11 PALM AVE, YUKON, OK 73099-5645
(405) 354-1901
(405) 354-6584

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
314000000X
Skilled Nursing Facility
Primary
CC0901-0901
OK

Other

Enumeration date
04/05/2013
Last updated
10/14/2024
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