East Shawnee Nursing Center L L C

NPI #1619072253 in Tahlequah, Oklahoma

Provider Information

NPI Number
1619072253
Entity Type
Organization
Organization Name
East Shawnee Nursing Center L L C
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 14, 2006
Last Updated
Sep 30, 2025

Practice Location

Address
614 E CHERRIE ST
ZIP Code
74464-3208
Phone
(918) 456-2573

Authorized Official

Name
KRISTY DEROIN
Title
DIRECTOR OF REIMBURSEMENT
Phone
(405) 943-1144

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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