Quail Ridge Living Center Inc

NPI 1396841094 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1396841094
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name LINDA LEA LINDA
Position ADMINISTRATOR
Phone (918) 422-5139
Fax (918) 422-9998
Practice Location
564 STATE LINE RD
COLCORD OK, 74338, US
Phone (918) 422-5139
Fax (918) 422-9998
Business Location
PO BOX 1005
SILOAM SPRINGS AR, 72761, US
Phone (918) 422-5139
Fax (918) 422-9998
Toxanomy
Taxonomy Code 314000000X
License State Oklahoma
License Number NH21052105
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According to our database, Quail Ridge Living Center Inc NPI is 1396841094, taxonomy code is 314000000X and license number is NH21052105, license state is located at Oklahoma. Quail Ridge Living Center Inc physically located at 564 State Line Rd, Colcord OK, 74338. NPI Number 1033115704 has the healthcare provider type.

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1396841094 NPI number is provided on an as is basis without warranty of any kind. 1396841094 is maintained by the National Plan & Provider Enumeration System. The contents of Quail Ridge Living Center Inc are for informational purposes only.