OrganizationActive
Clinton Nursing Center, LLC
NPI 1568567113 · Skilled Nursing Facility · Clinton, OK
Provider details
- NPI number
- 1568567113
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Deroin, Director of Reimbursement(405) 943-1144
- License
- NH2001-2001 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2400 W Modelle Ave
Clinton, OK 73601-3724
Phone: (580) 323-1110
Fax: (580) 323-3858
Approximate (ZIP-level) locationGet directions
Mailing address
2400 W Modelle Ave
Clinton, OK 73601-3724
Other names (DBA / former)
- Doing business as
- Grace Living Center - Clinton
- Doing business as
- Grace Living Center - Clinton
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.