Wagoner Care Center LLC

NPI #1225178429 in Wagoner, Oklahoma

Provider Information

NPI Number
1225178429
Entity Type
Organization
Organization Name
Wagoner Care Center LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 7, 2007
Last Updated
Jan 20, 2012

Practice Location

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

Authorized Official

Name
JUSTIN PRICE
Title
MEMBER
Phone
(918) 967-9285

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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