State of Oklahoma

NPI #1225295710 in Clinton, Oklahoma

Provider Information

NPI Number
1225295710
Entity Type
Organization
Organization Name
State of Oklahoma
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF OKLAHOMA/ OK DEPT VETERANS
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 21, 2008
Last Updated
May 15, 2018

Practice Location

Address
1701 SOUTH 4TH
ZIP Code
73601-1209
Phone
(580) 331-2200

Authorized Official

Name
MS. ERMIE CLINHNA WILLIAMS, RN, CLNC, LNHA
Title
COMPLIANCE DIRECTOR
Phone
(405) 523-4000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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