Scg Madill Brookside LLC
NPI #1699764100 in Madill, Oklahoma
Provider Information
- NPI Number
- 1699764100
- Entity Type
- Organization
- Organization Name
- Scg Madill Brookside LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 18, 2005
- Last Updated
- Jul 17, 2014
Practice Location
Authorized Official
- Name
- MR. KEVIN C GOYER JR.
- Title
- PRESIDENT
- Phone
- (813) 341-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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