Homestead of Kingfisher Operations LLC
NPI #1720651854 in Kingfisher, Oklahoma
Provider Information
- NPI Number
- 1720651854
- Entity Type
- Organization
- Organization Name
- Homestead of Kingfisher Operations LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 16, 2021
- Last Updated
- Jul 16, 2021
Practice Location
- Address
- 1604 S 13TH ST
- City
- Kingfisher
- State
- Oklahoma
- ZIP Code
- 73750-4619
- Phone
- (405) 778-2071
Authorized Official
- Name
- MR. MICHAEL D TRYON, CPA
- Title
- CFO
- Phone
- (785) 272-1535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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