Town of Vici

NPI #1689664716 in Vici, Oklahoma

Provider Information

NPI Number
1689664716
Entity Type
Organization
Organization Name
Town of Vici
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 28, 2005
Last Updated
Jun 17, 2011

Practice Location

Address
619 SPECK
City
Vici
ZIP Code
73859-0119
Phone
(580) 995-4216

Authorized Official

Name
MR. MICHAEL AARON BOONE, B.S. BUSINESS ADMIN.
Title
ADMINISTRATOR
Phone
(580) 995-4216

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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