Provider Demographics
NPI:1003982620
Name:PIATT AND MILLER INC
Entity Type:Organization
Organization Name:PIATT AND MILLER INC
Other - Org Name:PARKVIEW MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:VIRGINIA
Authorized Official - Last Name:FRYER
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:580-875-3376
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:600 EAST CALIFORNIA
Mailing Address - City:WALTERS
Mailing Address - State:OK
Mailing Address - Zip Code:73572-0246
Mailing Address - Country:US
Mailing Address - Phone:580-875-3376
Mailing Address - Fax:580-875-3574
Practice Address - Street 1:600 EAST CALIFORNIA
Practice Address - Street 2:
Practice Address - City:WALTERS
Practice Address - State:OK
Practice Address - Zip Code:73572-0246
Practice Address - Country:US
Practice Address - Phone:580-875-3376
Practice Address - Fax:580-875-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH17011701314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
N=========Medicare UPIN
375319Medicare ID - Type Unspecified