Edna Lee's Residential Care

NPI #1508070830 in Vinita, Oklahoma

Provider Information

NPI Number
1508070830
Entity Type
Organization
Organization Name
Edna Lee's Residential Care
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
421 W SOUTH AVE
City
Vinita
ZIP Code
74301-4143
Phone
(918) 256-3131

Authorized Official

Name
MS. DONNA J KELLEY
Title
ADMINISTRATOR
Phone
(918) 256-3131

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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