Country Lane Cottage #4

LBN: Servant Living Center - Beggs, Llc
Country Lane Cottage #4 is an health care organization with primary practice located at 304 E 7Th St , Beggs OK 74421. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Servant Living Center - Beggs, Llc can be contacted via phone (918) 267-3362, or through Pilgrim, Scott via phone (405) 285-8166.

Contact Information

Primary practice address
304 E 7Th St Beggs OK 74421
Phone: (918) 267-3362
Fax: (918) 267-3344
Website:
Map and Directions
Authorized official contact:
Name: Pilgrim, Scott
Phone: (405) 285-8166

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X NH5618 Oklahoma

Profile Details

NPI number 1912025982
LBN Legal business name Servant Living Center - Beggs, Llc
DBA Doing business as Country Lane Cottage #4
Authorized official Pilgrim, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 16th, 2008 - about 18 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 1912025982 NPPES
Oklahoma MEDICAID 200054610E

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