OB
OK4 BROADWAY OPCO LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
MUSKOGEE, OK
Licensed since
2016
Rate
—
Federal identifiers
NPI registry number1952758294
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameISAAC DOLE
TitleMANAGER/PRINCIPAL
Phone9186832851
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Source: NPI Registry · Last refreshed June 24, 2026