Midwest Homestead of Owasso, LLC

NPI #1205952421 in Owasso, Oklahoma

Provider Information

NPI Number
1205952421
Entity Type
Organization
Organization Name
Midwest Homestead of Owasso, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Mar 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
14701 E 86TH ST N
City
Owasso
ZIP Code
74055-8474
Phone
(918) 376-2226

Authorized Official

Name
MR. MICHAEL D. TRYON
Title
CFO
Phone
(785) 228-7913

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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