Ok4 Eastgate Opco LLC
NPI #1962857482 in Muskogee, Oklahoma
Provider Information
- NPI Number
- 1962857482
- Entity Type
- Organization
- Organization Name
- Ok4 Eastgate Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 3, 2016
- Last Updated
- Oct 29, 2024
Practice Location
Authorized Official
- Name
- ISAAC DOLE
- Title
- MANAGER/PRINCIPAL
- Phone
- (773) 645-9246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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