{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "GLENNWOOD HEALTHCARE INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"FirstLineMailingAddress": "920 E 16TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLAREMORE",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74017-3165",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-341-4857",
"MailingAddressFaxNumber": "918-341-9199",
"FirstLinePracticeLocationAddress": "1700 E 141ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GLENPOOL",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74033-3807",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-291-4230",
"PracticeLocationAddressFaxNumber": "918-291-2429",
"EnumerationDate": "06/24/2009",
"LastUpdateDate": "11/30/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LESSLEY",
"AuthorizedOfficialFirstName": "BRETT",
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"AuthorizedOfficialTitle": "PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "918-341-4857",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}