Azalea Park Manor LLC

NPI #1699870329 in Muskogee, Oklahoma

Provider Information

NPI Number
1699870329
Entity Type
Organization
Organization Name
Azalea Park Manor LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 14, 2006
Last Updated
Feb 5, 2026

Practice Location

Address
4717 W OKMULGEE ST
ZIP Code
74401-4657
Phone
(918) 683-2914

Authorized Official

Name
KRISTY DEROIN
Title
DIRECTOR OF RCM
Phone
(405) 943-1144

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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