Wagoner Health & Rehab LLC

NPI #1093186611 in Wagoner, Oklahoma

Provider Information

NPI Number
1093186611
Entity Type
Organization
Organization Name
Wagoner Health & Rehab LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 8, 2015
Last Updated
Jun 7, 2024

Practice Location

Address
205 N LINCOLN AVE
ZIP Code
74467-3915
Phone
(918) 485-2203

Authorized Official

Name
BRADFORD MONTGOMERY
Title
MEMBER
Phone
(479) 715-6759

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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