Fort Gibson Management LLC
NPI #1023142981 in Fort Gibson, Oklahoma
Provider Information
- NPI Number
- 1023142981
- Entity Type
- Organization
- Organization Name
- Fort Gibson Management LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 205 E POPLAR
- City
- Fort Gibson
- State
- Oklahoma
- ZIP Code
- 74431
- Phone
- (918) 478-2456
Authorized Official
- Name
- MRS. KATHY JANE CARTER
- Title
- ADMINISTRATOR
- Phone
- (918) 478-2456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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