EASTGATE VILLAGE LLC is a nursing facility intermediate care facility in Muskogee, OK. The provider is 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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. EASTGATE VILLAGE LLC NPI is 1083663512. The provider is registered as an organization entity type.
The provider's business location address is:
3500 HASKELL BLVD
MUSKOGEE, OK
ZIP 74403-915
Phone: (918) 682-3191
Fax: (918) 682-1131
The provider's authorized official is Mary Louise Fletcher .
The authorized official title is Administrator and has the following contact phone number (918) 682-3191.
The CLIA number assigned to this NPI record is 37D0880110 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/22/2020.