Willow Haven

LBN: Ila Seaton, Llc
Willow Haven is an health care organization with primary practice located at 1301 N 5Th St , Tonkawa OK 74653-1513. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Ila Seaton, Llc can be contacted via phone (580) 628-2529, or through Seaton, Ila M via phone (918) 645-5905.

Contact Information

Primary practice address
1301 N 5Th St Tonkawa OK 74653-1513
Phone: (580) 628-2529
Fax: (580) 628-9066
Website:
Map and Directions
Authorized official contact:
Name: Seaton, Ila M
Phone: (918) 645-5905

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1689807414
LBN Legal business name Ila Seaton, Llc
DBA Doing business as Willow Haven
Authorized official Seaton, Ila M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2009
Last updated Sep 17th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689807414 NPPES
Oklahoma MEDICAID 200255140A

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