OrganizationActive
Care Nursing Home Inc.
NPI 1376542902 · Skilled Nursing Facility · Prague, OK
Provider details
- NPI number
- 1376542902
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Patricia Connery, Secretary/Treasurer
- License
- NH4103-4103 (OK)
Practice location
6308 Nbu
Prague, OK 74864-2523
Phone: (405) 567-2201
Fax: (405) 567-2395
Mailing address
200 W. Parkland Ave.
Prague, OK 74864-9615
Registry dates
- Enumerated
- 2005-07-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.