NPI 1619072253 · live from the CMS NPI Registry
East Shawnee Nursing Center L L C
Skilled Nursing Facility in Tahlequah, OK. National Provider Identifier 1619072253, active.
NPI record
| NPI | 1619072253 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 614 E Cherrie St, Tahlequah, OK 74464 |
| Practice phone | 918-456-2573 |
| Enumerated | September 14, 2006 |
| Last updated | September 30, 2025 |
| Authorized official | Kristy Deroin, Director Of Reimbursement |
| Other names | Grace Living Center - East Shawnee; Sequoyah Pointe Skilled Nursing And Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH1103-1103 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.