Walnut Grove Living Center, Inc.

LBN: Walnut Grove Living Center, Inc.
Walnut Grove Living Center, Inc. is an health care organization with primary practice located at 1001 S George Nigh Expy , Mcalester OK 74501-7286. 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. Walnut Grove Living Center, Inc. can be contacted via phone (918) 423-7373, or through Bennett, Peggy W. via phone (918) 423-7373.

Contact Information

Primary practice address
1001 S George Nigh Expy Mcalester OK 74501-7286
Phone: (918) 423-7373
Fax: (918) 423-7156
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Peggy W.
Phone: (918) 423-7373

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH6110-6110 Oklahoma

Profile Details

NPI number 1013914779
LBN Legal business name Walnut Grove Living Center, Inc.
DBA Doing business as
Authorized official Bennett, Peggy W.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 2nd, 2012 - about 12 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 1013914779 NPPES
Oklahoma MEDICAID 100776710A

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