Organization
ALTUS OPERATIONS L L C
Active
Other names
PLANTATION VILLAGE, Magnolia Creek Skilled Nursing and Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (DIRECTOR OF RCM)
(405) 943-1144
Entity
Organization
Contact information
Practice address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Mailing address
2610 CEDAR CREEK DR, ALTUS, OK 73521-1312
(580) 480-1800
(580) 477-2006
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100778080A
—
OK
Enumeration date
08/21/2006
Last updated
02/05/2026
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