Healthcare Provider Details

I. General information

NPI: 1548385206
Provider Name (Legal Business Name): PF GARLAND SNF OPS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 10/02/2021
Certification Date: 10/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 N GARLAND RD
ENID OK
73703-2875
US

IV. Provider business mailing address

1500 WATERS RIDGE DR
LEWISVILLE TX
75057-6011
US

V. Phone/Fax

Practice location:
  • Phone: 580-234-2526
  • Fax: 580-233-6893
Mailing address:
  • Phone: 972-899-4401
  • Fax: 972-899-4806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES M CHANCE
Title or Position: AUTHORIZED OFFICER
Credential:
Phone: 214-725-2837