Coal County Extended Care Incorporated

NPI #1639178130 in Coalgate, Oklahoma

Provider Information

NPI Number
1639178130
Entity Type
Organization
Organization Name
Coal County Extended Care Incorporated
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jul 18, 2005
Last Updated
Jul 7, 2020

Practice Location

Address
7 N COVINGTON ST
ZIP Code
74538-2001
Phone
(580) 927-2000

Authorized Official

Name
MR. TRENT A. BOURLAND
Title
CHIEF EXECUTIVE OFFICER
Phone
(580) 927-2327

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility
Nursing Facility/Intermediate Care Facility

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