Perry Green Valley Nursing Home LLC

NPI #1003027921 in Perry, Oklahoma

Provider Information

NPI Number
1003027921
Entity Type
Organization
Organization Name
Perry Green Valley Nursing Home LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2007
Last Updated
Apr 19, 2012

Practice Location

Address
1103 BIRCH ST
City
Perry
ZIP Code
73077-6269
Phone
(580) 336-2285

Authorized Official

Name
TANDIE HASTINGS
Title
SOLE MEMBER
Phone
(405) 282-6285

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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