Washita Valley Living Center, INC

NPI #1528075546 in Pauls Valley, Oklahoma

Provider Information

NPI Number
1528075546
Entity Type
Organization
Organization Name
Washita Valley Living Center, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 2, 2006
Last Updated
Jul 16, 2007

Practice Location

Address
105 WASHINGTON ST
ZIP Code
73075-5039
Phone
(405) 238-5528

Authorized Official

Name
MR. JACK JUSTICE
Title
OWNER
Phone
(405) 238-5528

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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