Blue River Healthcare Inc.
NPI #1528159266 in Tishomingo, Oklahoma
Provider Information
- NPI Number
- 1528159266
- Entity Type
- Organization
- Organization Name
- Blue River Healthcare Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1105 E MAIN ST
- City
- Tishomingo
- State
- Oklahoma
- ZIP Code
- 73460-2401
- Phone
- (580) 371-2636
Authorized Official
- Name
- MRS. VETRESS MAE HOLT
- Title
- ADMINISTRATOR
- Phone
- (580) 371-2636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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