NPI 1669469755 · live from the CMS NPI Registry
Colonial Terrace Nursing Care Center LLC
Skilled Nursing Facility in Pryor, OK. National Provider Identifier 1669469755, active.
NPI record
| NPI | 1669469755 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1320 Ne 1st Pl, Pryor, OK 74361 |
| Practice phone | 918-825-5311 |
| Mailing address | 201 N Elm St, Suite A, Sallisaw, OK 74955 |
| Enumerated | October 4, 2005 |
| Last updated | September 19, 2007 |
| Authorized official | Sandra Taylor, Vp In Charge Of Reimbursement |
| Other names | Colonial Terrace Care Ctr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 314000000X (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.