Scg Lake Country LLC
NPI #1033110457 in Marietta, Oklahoma
Provider Information
- NPI Number
- 1033110457
- Entity Type
- Organization
- Organization Name
- Scg Lake Country LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jan 22, 2010
Practice Location
Authorized Official
- Name
- MR. ROBERT DANIEL VAUGHAN
- Title
- PRESIDENT
- Phone
- (813) 341-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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