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NPI Code Detail

MEDICARE: HILL NURSING HOME, INC.

MEDICARE: HILL NURSING HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310500000XMental Illness Intermediate Care FacilityNH4502-4502OK

General Provider Information

NPI Number : 1922005230
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILL NURSING HOME, INC.
Provider Business Mailing Address
First Line : PO BOX 687
Second Line :
City : IDABEL
State : OK
Zip : 74745-0687
Country : US
Telephone Number : 580-286-5398
Fax Number : 580-286-7924
Provider Business Practice Location Address
First Line : 808 NW MARTIN LUTHER KING AVE
Second Line :
City : IDABEL
State : OK
Zip : 74745-4268
Country : US
Telephone Number : 580-286-5398
Fax Number : 580-286-7924
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MS. G. JOY HILL
Credential :
Telephone Number : 580-286-5398
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/22/2020

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Directions to “HILL NURSING HOME, INC. ” Practice Location

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