Southwest Ltc - NW Okc, LLC
NPI #1700267754 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1700267754
- Entity Type
- Organization
- Organization Name
- Southwest Ltc - NW Okc, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 16, 2015
- Last Updated
- Jun 16, 2015
Practice Location
- Address
- 2801 NW 61ST ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73112-7007
- Phone
- (405) 842-6601
Authorized Official
- Name
- RONALD R PAYNE, JD
- Title
- CEO
- Phone
- (469) 916-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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