Organization · Type 2 NPI

SCG Lake Country LLC

Skilled Nursing Facility · Marietta, OK

NPI number 1033110457 Active

Practice location

401 C E Colston Dr
Marietta, OK 73448-1230

Fax (580) 276-2100

Mailing address

1240 Marbella Plaza Dr.
Tampa, FL 33619-7905

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNH4301-4301 (OK)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1033110457

SCG Lake Country LLC's National Provider Identifier is 1033110457, issued on Aug 9, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Marietta, OK. The record was last updated on Jan 22, 2010.