Latimer Long Term Care LLC

NPI #1568141208 in Wilburton, Oklahoma

Provider Information

NPI Number
1568141208
Entity Type
Organization
Organization Name
Latimer Long Term Care LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 11, 2023
Last Updated
Jul 11, 2023

Practice Location

Address
103 SW 9TH ST
ZIP Code
74578-3604
Phone
(918) 465-9300

Authorized Official

Name
DARREN TIDWELL, DPH
Title
OWNER
Phone
(918) 465-9300

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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