Summit Healthcare Receivership LLC

NPI #1114220191 in Okeene, Oklahoma

Provider Information

NPI Number
1114220191
Entity Type
Organization
Organization Name
Summit Healthcare Receivership LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 13, 2010
Last Updated
Aug 11, 2011

Practice Location

Address
119 N. 6TH
City
Okeene
ZIP Code
73763
Phone
(580) 822-4441

Authorized Official

Name
RANDY GOODMAN
Title
RECEIVER
Phone
(405) 769-7990

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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