Organization · Type 2 NPI

Eastgate Village LLC

Skilled Nursing Facility · Muskogee, OK

NPI number 1083663512 Active

Practice location

3500 Haskell Blvd
Muskogee, OK 74403-3915

Call (918) 682-3191 Map

Fax (918) 682-1131

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000XNH5113-5113 (OK)
Skilled Nursing Facility Primary 314000000XNH5113-5113 (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 1083663512

Eastgate Village LLC's National Provider Identifier is 1083663512, issued on May 10, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Muskogee, OK. The record was last updated on Sep 11, 2025.