Eastgate Village Llc

LBN: Eastgate Village Llc
Eastgate Village Llc is an health care organization with primary practice located at 3500 Haskell Blvd , Muskogee OK 74403-3915. 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. Eastgate Village Llc can be contacted via phone (918) 682-3191, or through Fletcher, Mary Louise via phone (918) 682-3191.

Contact Information

Primary practice address
3500 Haskell Blvd Muskogee OK 74403-3915
Phone: (918) 682-3191
Fax: (918) 682-1131
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Mary Louise
Phone: (918) 682-3191

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH5113-5113 Oklahoma
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5113-5113 Oklahoma

Profile Details

NPI number 1083663512
LBN Legal business name Eastgate Village Llc
DBA Doing business as
Authorized official Fletcher, Mary Louise
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2020 - about 6 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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