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Contact Information

LOCUST GROVE CARE CENTER LLC
117 WYANDOTTE & ROSS
LOCUST GROVE, OK74352
 Phone: 918-479-5784
 Fax: 918-479-6254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LOCUST GROVE CARE CENTER LLC

NPI Number 1619964681
LBN Legal business name LOCUST GROVE CARE CENTER LLC
Authorized official SANDRA TAYLOR - (VP IN CHARGE OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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