OrganizationMuskogee Health Services Llc(Muskogee Nursing Center)Skilled Nursing FacilityNursing & Custodial Care FacilitiesPractice Address602 N M St, Muskogee, OK 74403-4332(918) 682-9232(918) 683-9407PECOS EnrollmentBased on the most recent information from CMS, provider Muskogee Health Services Llc 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 today at 11:02 AM.Profile DetailsProvider ID1932144581Provider TypeOrganizationFull NameMuskogee Health Services LlcOther NameMuskogee Nursing CenterSubpartNoEnumeration Date6/18/2006Last Updated11/13/2008Contact InformationPractice LocationPractice Address602 N M St, Muskogee, OK 74403-4332Phone(918) 682-9232Fax(918) 686-8629Mailing LocationMailing Address1929 Betty Jane Ln, Muskogee, OK 74403-1581Phone(918) 683-9407Fax(918) 683-1979Authorized OfficialNameMontgomery, Tom M (Owner)Phone(918) 683-9407Provider TaxonomiesCodeDescriptionLicenseCode314000000XPrimaryDescriptionSkilled Nursing FacilityNursing & Custodial Care FacilitiesLicenseNH51085108OklahomaProvider IdentifiersIDDescriptionIssuerID200047290ADescriptionMedicaidIssuerUnlistedOklahoma