Healthcare Provider Details

I. General information

NPI: 1942132089
Provider Name (Legal Business Name): ABBYS SENIOR CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N DAWSON ST
MEEKER OK
74855-9508
US

IV. Provider business mailing address

PO BOX 649
PRAGUE OK
74864-0649
US

V. Phone/Fax

Practice location:
  • Phone: 405-279-3521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: CHRISTOPHER MOTLEY
Title or Position: MANAGER
Credential: LPN
Phone: 469-387-0863