Wagoner Care Center LLC

Organization Nursing Facility/Intermediate Care Facility · NPI 1225094766

Wagoner Care Center LLC is a Nursing Facility/Intermediate Care Facility in Wagoner, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in: OK
In the registry since: 2006

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 N Lincoln Ave
Wagoner, OK 74467-3915
Phone: (918) 485-2203
Fax: (918) 485-6673

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary)	Taxonomy 313M00000X · Licence NH7302-7302 (OK)

Record details

NPI number	1225094766
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	William Haynes — Mds/Cpc · (918) 485-2203
NPI enumerated	April 24, 2006
Last updated in NPPES	August 22, 2020
Mailing address	205 N Lincoln Ave, Wagoner, OK 74467-3915