Servant Living Center-Beggs, LLC
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Beggs, OK
NPI 1366465247 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366465247
- 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
- 306 E 7TH St
Beggs, OK 74421 - Phone
- (918) 267-3362
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott D Pilgrim
- Title
- Managing Member
- Phone
- (405) 285-8166
Corporate family (same tax ID) 5
Practitioners 1
-
Brandon King, D.O.
National Provider Directory
- Tax ID family
- Country Lane Cottage 1
Locations
306 E 7th
Beggs, OK 74421
Phone (918) 267-3362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NH5601 | OK | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NH5615 | OK | |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NH5616 | OK | Yes |
Addresses
Primary practice location
306 E 7TH St
Beggs, OK 74421
Mailing address
129 W 1St St
Suite B
Edmond, OK 73003-5508
Phone (405) 285-8166
Other providers in Beggs, OK
- 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
- The You Place, LLC
- John Waldron
- Shannon R West
- Regan Wheeland
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 Aug 22, 2020. 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.