Eastgate Village Llc in Muskogee - Nursing Facility/intermediate Care Facility
Eastgate Village Llc - NPI 1083663512
Eastgate Village Llc is a Nursing Facility/intermediate Care Facility in Muskogee, Oklahoma. Eastgate Village Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Eastgate Village Llc is 1083663512. The last update date is 2020-08-22.
Eastgate Village Llc's current location address is 3500 Haskell Blvd, Muskogee, Oklahoma. You can contact this provider via phone number 9186823191 and fax number 9186821131. The mailing address for Eastgate Village Llc is 3500 Haskell Blvd, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Eastgate Village Llc |
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Address | 3500 Haskell Blvd, Muskogee, Oklahoma |
Phone Number | 9186823191 |
Fax Number | 9186821131 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Fletcher Louise Mary |
Telephone Number | 9186823191 |
NPI Number Detail
NPI Number | 1083663512 |
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Provider Enumeration Date | 2006-05-10 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3500 Haskell Blvd |
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City | Muskogee |
State | Oklahoma (OK) |
Post Code | 744033915 |
Phone Number | 9186823191 |
Fax Number | 9186821131 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
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Taxonomy | 313M00000X |
Licence No | NH5113-5113 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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What is the unique 10-digit identification code issued to Eastgate Village Llc by the Centers for Medicare & Medicaid Services?
The Eastgate Village Llc has been assigned the NPI (National Provider Identifier) 1083663512 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Eastgate Village Llc?
The Eastgate Village Llc is physically situated at 3500 Haskell Blvd, in the city of Muskogee, state of OK, with the postal code 744033915.
What is Eastgate Village Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eastgate Village Llc is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy classification code for this specialized field is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083663512 to Eastgate Village Llc?
The Centers for Medicare & Medicaid Services originally issued the 1083663512 to Eastgate Village Llc on 2006-05-10.
When was the information regarding Eastgate Village Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eastgate Village Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY