Provider Demographics
NPI:1639162399
Name:SEILING NURSING CENTER
Entity Type:Organization
Organization Name:SEILING NURSING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MUNYON
Authorized Official - Last Name:HELTERBRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:580-922-4433
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:HIGHWAY 60 NORTH
Mailing Address - City:SEILING
Mailing Address - State:OK
Mailing Address - Zip Code:73663-0085
Mailing Address - Country:US
Mailing Address - Phone:580-922-4433
Mailing Address - Fax:580-922-4435
Practice Address - Street 1:911 ELM ST.
Practice Address - Street 2:
Practice Address - City:SEILING
Practice Address - State:OK
Practice Address - Zip Code:73663
Practice Address - Country:US
Practice Address - Phone:580-922-4433
Practice Address - Fax:580-922-4435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH2201-2201313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK313M00000XMedicare UPIN