Wagoner Care Center Llc

LBN: Wagoner Care Center Llc
Wagoner Care Center Llc is an health care organization with primary practice located at 205 N Lincoln Ave , Wagoner OK 74467-3915. 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. Wagoner Care Center Llc can be contacted via phone (918) 485-2203, or through Haynes, William Allen via phone (918) 485-2203.

Contact Information

Primary practice address
205 N Lincoln Ave Wagoner OK 74467-3915
Phone: (918) 485-2203
Fax: (918) 485-6673
Website:
Map and Directions
Authorized official contact:
Name: Haynes, William Allen Licensed Practical Nurse (LPN)
Phone: (918) 485-2203

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH7302-7302 Oklahoma

Profile Details

NPI number 1225094766
LBN Legal business name Wagoner Care Center Llc
DBA Doing business as
Authorized official Haynes, William Allen Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 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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