Healthcare Provider Details

I. General information

NPI: 1821745522
Provider Name (Legal Business Name): SNH OPCO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 03/03/2022
Certification Date: 03/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W LOCUST ST
STILWELL OK
74960-3626
US

IV. Provider business mailing address

1805 E 15TH ST
TULSA OK
74104-4610
US

V. Phone/Fax

Practice location:
  • Phone: 918-696-7115
  • Fax: 918-696-4638
Mailing address:
  • Phone: 918-622-4799
  • Fax: 866-218-8035

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: LARRY L SNOW
Title or Position: CEO
Credential:
Phone: 918-622-4799