Scg Lake Country LLC
Scg Lake Country LLC is a Skilled Nursing Facility in Marietta, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.
- Licensed in
- OK
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
401 C E Colston DrMarietta, OK 73448-1230
Phone: (580) 276-3318
Fax: (580) 276-2100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence NH4301-4301 (OK) |
|---|
Record details
| NPI number | 1033110457 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Vaughan — President · (813) 341-2700 |
| Other names | Lake Country Nursing Center |
| NPI enumerated | August 9, 2005 |
| Last updated in NPPES | January 22, 2010 |
| Mailing address | 1240 Marbella Plaza Dr., Tampa, FL 33619-7905 |
Other providers in Marietta
-
Marietta Operating Co, LLC
301 C E Colston Dr, Marietta, OK 73448-2169 · (580) 634-4712