Healthcare Provider Details

I. General information

NPI: 1639162399
Provider Name (Legal Business Name): SEILING NURSING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 ELM ST.
SEILING OK
73663
US

IV. Provider business mailing address

PO BOX 85 HIGHWAY 60 NORTH
SEILING OK
73663-0085
US

V. Phone/Fax

Practice location:
  • Phone: 580-922-4433
  • Fax: 580-922-4435
Mailing address:
  • Phone: 580-922-4433
  • Fax: 580-922-4435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH2201-2201
License Number StateOK

VIII. Authorized Official

Name: MRS. ANN MUNYON HELTERBRAKE
Title or Position: ADMINISTRATOR
Credential: LPN
Phone: 580-922-4433