OrganizationActive
Azalea Park Manor LLC
NPI 1699870329 · Skilled Nursing Facility · Muskogee, OK
Provider details
- NPI number
- 1699870329
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kristy Deroin, Director of Rcm(405) 943-1144
- License
- NH5106-5106 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4717 W Okmulgee St
Muskogee, OK 74401-4657
Phone: (918) 683-2914
Fax: (918) 683-3167
Approximate (ZIP-level) locationGet directions
Mailing address
5800 W Okmulgee St
Muskogee, OK 74401-4552
Other names (DBA / former)
- Doing business as
- Grace Living Center - Muskogee
- Doing business as
- Grace Living Center - Muskogee
- Doing business as
- The Springs Skilled Nursing and Therapy
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.