Servant Living Center - Beggs, LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Beggs, OK
NPI 1003934076 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1003934076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- NH5616 (OK)
- Legal business name
- SERVANT LIVING CENTER - BEGGS, LLC
- Practice address
- 301 E 7TH St
Beggs, OK 74421 - Phone
- (918) 267-3362
- Fax
- (918) 267-3344
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Scott Pilgrim
- Title
- Managing Member
- Phone
- (405) 285-8166
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Country Lane Cottage 1
Locations
301 E 7TH St
Beggs, OK 74421
Phone (918) 267-3362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NH5616 | OK | Yes |
Addresses
Primary practice location
301 E 7TH St
Beggs, OK 74421
Mailing address
P.O. Box 990
Edmond, OK 73083
Phone (405) 285-8166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200054610B | Medicaid | OK |
Other names
- Country Lane Cottage #2
Other providers in Beggs, OK
- Professional Rehab & Ortho PT
- Bonnie Sue Rains
- Amanda Rankin
- Crystal Lavone Ross
- Kaitlin Jewel Rouk
- Servant Living Center - Beggs, LLC
- Servant Living Center - Beggs, LLC
- Servant Living Center - Beggs, LLC
- Servant Living Center - Beggs, LLC
- Servant Living Center-Beggs, LLC
All providers in Beggs, OK · Intellectual Disabilities Intermediate Care Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.