OrganizationPleasant Valley Health Care Center, IncSkilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address1120 Illinois St, Muskogee, OK 74403-7411(918) 682-5391PECOS EnrollmentBased on the most recent information from CMS, provider Pleasant Valley Health Care Center, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922190008Provider TypeOrganizationFull NamePleasant Valley Health Care Center, IncSubpartNoEnumeration Date9/28/2006Last Updated10/29/2008Contact InformationPractice LocationPractice Address1120 Illinois St, Muskogee, OK 74403-7411Phone(918) 682-5391Fax(918) 684-3295Mailing LocationMailing Address1120 Illinois St, Muskogee, OK 74403-7411Phone(918) 682-5391Fax(918) 684-3295Authorized OfficialNameNevitt, Danny (Administrator)Phone(918) 682-5391Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicenseNH51095109OklahomaProvider IdentifiersIDDescriptionIssuerID100774600ADescriptionMedicaidIssuerUnlistedOklahoma