Nowata Ltc LLC

NPI #1003659855 in Nowata, Oklahoma

Provider Information

NPI Number
1003659855
Entity Type
Organization
Organization Name
Nowata Ltc LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 18, 2024
Last Updated
Jun 18, 2024

Practice Location

Address
436 S JOE ST
City
Nowata
ZIP Code
74048-3233
Phone
(918) 775-4439

Authorized Official

Name
MR. GREGORY LANCE GUYMON
Title
CONSULTANT
Phone
(405) 312-8050

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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