Wagoner Care Center LLC
NPI #1225094766 in Wagoner, Oklahoma
Provider Information
- NPI Number
- 1225094766
- Entity Type
- Organization
- Organization Name
- Wagoner Care Center LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Apr 24, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. WILLIAM ALLEN HAYNES JR., LPN
- Title
- MDS/CPC
- Phone
- (918) 485-2203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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