OrganizationActive
Servant Living Center-Thomas LLC
NPI 1730102617 · Nursing Facility/Intermediate Care Facility · Thomas, OK
Provider details
- NPI number
- 1730102617
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Pilgrim, Managing Member(405) 285-8166
- License
- NH2004-2004 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
601 E Frisco
Thomas, OK 73669
Phone: (580) 661-3260
Fax: (580) 661-3263
Approximate (ZIP-level) locationGet directions
Mailing address
129 W 1st Street
Edmond, OK 73003
Registry dates
- Enumerated
- 2006-07-25
- 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.