Organization · Type 2 NPI

PSG - Willow Park LLC

Nursing Facility/Intermediate Care Facility · Lawton, OK

NPI number 1821093352 Active

Practice location

7019 NW Cache Rd
Lawton, OK 73505-2707

Fax (580) 510-0017

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH1607-1607 (OK)
Skilled Nursing Facility 314000000XNH 16071607 (OK)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

6 other providers at this address

Other nursing facility/intermediate care facility providers in Lawton

See all in Lawton →

About NPI 1821093352

PSG - Willow Park LLC's National Provider Identifier is 1821093352, issued on Jun 21, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Lawton, OK. The record was last updated on Sep 11, 2025.