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PEAK MEDICAL OKLAHOMA NO. 12, INC.

Intermediate Care Facility, Mentally Retarded

Henryetta, Oklahoma

Provider NPI: 1851346142

Organization Information:
Organization Name:  PEAK MEDICAL OKLAHOMA NO. 12, INC.


Practice Location:
600 LAKE RD  HENRYETTA, OK 74437 US
Tel: 918-652-8101  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
OKNH56055605

Other Provider Identifiers:

IssuerNumberStateType
100779100AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS OK - Page 1



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