Phoenix Health Care, LLC

NPI #1710992250 in Pawnee, Oklahoma

Provider Information

NPI Number
1710992250
Entity Type
Organization
Organization Name
Phoenix Health Care, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 31, 2006
Last Updated
Aug 11, 2008

Practice Location

Address
1401 4TH ST
City
Pawnee
ZIP Code
74058-5003
Phone
(918) 762-2515

Authorized Official

Name
MRS. SUSAN A. FONDREN
Title
ADMINISTRATOR
Phone
(918) 762-2515

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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