NPI 1194568295 · live from the CMS NPI Registry
Clinton Nursing And Rehab LLC
Skilled Nursing Facility in Clinton, OK. National Provider Identifier 1194568295, active.
NPI record
| NPI | 1194568295 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2316 W Modelle Ave, Clinton, OK 73601 |
| Practice phone | 580-323-0912 |
| Mailing address | 444991 East Loop Road, Gore, OK 74435 |
| Enumerated | June 17, 2024 |
| Last updated | June 17, 2024 |
| Authorized official | James Montgomery, Member |
| Other names | Clinton Nursing And Rehab |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.