Gipson and Base at Willow Haven LLC

NPI #1679698443 in Tonkawa, Oklahoma

Provider Information

NPI Number
1679698443
Entity Type
Organization
Organization Name
Gipson and Base at Willow Haven LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Mar 20, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1301 N 5TH ST
ZIP Code
74653-1513
Phone
(580) 628-2529

Authorized Official

Name
ELIZABETH BASE
Title
RECEIVER
Phone
(405) 447-3000

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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