Organization · Type 2 NPI

Azalea Park Manor LLC

Skilled Nursing Facility · Muskogee, OK

NPI number 1699870329 Active

Practice location

4717 W Okmulgee St
Muskogee, OK 74401-4657

Call (918) 683-2914 Map

Fax (918) 683-3167

Mailing address

5800 W Okmulgee St
Muskogee, OK 74401-4552

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	NH5106-5106 (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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NPI record

NPI: 1699870329
Entity type: Organization (Type 2)
Issued: Sep 14, 2006
Last updated: Feb 5, 2026
Status: Active

Other names

<unavail>
Grace Living Center - Muskogee · doing business as
Grace Living Center - Muskogee · doing business as
The Springs Skilled Nursing and Therapy · doing business as

Authorized official

Kristy Deroin
Director of RCM
(405) 943-1144

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699870329

Azalea Park Manor LLC's National Provider Identifier is 1699870329, issued on Sep 14, 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 Feb 5, 2026.