Eastgate Village LLC
NPI #1083663512 in Muskogee, Oklahoma
Provider Information
- NPI Number
- 1083663512
- Entity Type
- Organization
- Organization Name
- Eastgate Village LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 10, 2006
- Last Updated
- Sep 11, 2025
Practice Location
Authorized Official
- Name
- MRS. MARY LOUISE FLETCHER
- Title
- ADMINISTRATOR
- Phone
- (918) 682-3191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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