NPI 1699870329 · live from the CMS NPI Registry
Azalea Park Manor LLC
Skilled Nursing Facility in Muskogee, OK. National Provider Identifier 1699870329, active.
NPI record
| NPI | 1699870329 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 4717 W Okmulgee St, Muskogee, OK 74401 |
| Practice phone | 918-683-2914 |
| Mailing address | 5800 W Okmulgee St, Muskogee, OK 74401 |
| Enumerated | September 14, 2006 |
| Last updated | February 5, 2026 |
| Authorized official | Kristy Deroin, Director Of Rcm |
| Other names | Grace Living Center - Muskogee; The Springs Skilled Nursing And Therapy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH5106-5106 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.