Psg - Willow Park Llc

LBN: Psg - Willow Park Llc
Psg - Willow Park Llc is an health care organization with primary practice located at 7019 Nw Cache Rd , Lawton OK 73505-2707. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Psg - Willow Park Llc can be contacted via phone (580) 536-1279, or through Hankins, Cheryl via phone (580) 536-1279.

Contact Information

Primary practice address
7019 Nw Cache Rd Lawton OK 73505-2707
Phone: (580) 536-1279
Fax: (580) 510-0017
Website:
Map and Directions
Authorized official contact:
Name: Hankins, Cheryl
Phone: (580) 536-1279

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH1607-1607 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH 16071607 Oklahoma

Profile Details

NPI number 1821093352
LBN Legal business name Psg - Willow Park Llc
DBA Doing business as
Authorized official Hankins, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Aug 22nd, 2020 - about 4 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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