Locust Grove Care Center LLC
NPI #1619964681 in Locust Grove, Oklahoma
Provider Information
- NPI Number
- 1619964681
- Entity Type
- Organization
- Organization Name
- Locust Grove Care Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 4, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 117 WYANDOTTE & ROSS
- City
- Locust Grove
- State
- Oklahoma
- ZIP Code
- 74352
- Phone
- (918) 479-5784
Authorized Official
- Name
- MS. SANDRA TAYLOR
- Title
- VP IN CHARGE OF REIMBURSEMENT
- Phone
- (918) 775-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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