Grand Union Healthcare L.l.c,

NPI #1013016864 in Jay, Oklahoma

Provider Information

NPI Number
1013016864
Entity Type
Organization
Organization Name
Grand Union Healthcare L.l.c,
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 21, 2006
Last Updated
Dec 22, 2011

Practice Location

Address
226 EAST MONROE STREET
City
Jay
ZIP Code
74346-0409
Phone
(918) 253-4500

Authorized Official

Name
ORRISE MATHESON
Title
ADMINISTRATOR
Phone
(918) 253-4500

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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