NPI 1720161813 · live from the CMS NPI Registry
Brentwood Extended Care & Rehab. LLC
Skilled Nursing Facility in Muskogee, OK. National Provider Identifier 1720161813, active.
NPI record
| NPI | 1720161813 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 841 N 38th St, Muskogee, OK 74401 |
| Practice phone | 918-683-8070 |
| Mailing address | 1929 Betty Jane Ln, Muskogee, OK 74403 |
| Enumerated | October 23, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Bobbie Montgomery, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.