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NPI Provider: 1417954900
Contact Name: Reed T Bart
Position: President
Phone: (580) 436-0950
Ihs Stonegate Nursing Center Information:
Ihs Stonegate Nursing Center organization have npi 1417954900, taxonomy code is 313M00000X with license number is 7695 in . This Business address located in 130 E 6th St, Stonewall, OK 74871 Oklahoma. Get directions of Ihs Stonegate Nursing Center.
Practice Location
Address: 201 W 5th St, Ada, OK 74820
Phone: (580) 436-0950
Business Location
Address: 130 E 6th St, Stonewall, OK 74871
Phone: (580) 436-0950
Fax: (580) 436-0950
Taxonomy
Taxonomy Code: 313M00000X
License Number: 7695
License Number of State: OK
Primary Taxonomy Switch: Y
Enumeration Date: 6/30/2005
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