SCG LAKE COUNTRY LLC

Skilled Nursing Facility

Active Organization
NPI: 1033110457

Practice Address

401 C E COLSTON DR
Marietta, OK 73448

Phone: (580) 276-3318

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes NH4301-4301 (OK)

Frequently Asked Questions

NPI 1033110457 is the National Provider Identifier for SCG LAKE COUNTRY LLC, a Skilled Nursing Facility provider located in Marietta, OK. This NPI was enumerated on August 9, 2005.

Quick Facts

NPI
1033110457
Type
Organization
Enumerated
Aug 9, 2005
Last Updated
Jan 22, 2010

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