| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1093186611 | WAGONER HEALTH & REHAB LLC | 9 PROFESSIONAL DR | BELLA VISTA | AR | 727158462 | |||
| 1225094766 | WAGONER CARE CENTER LLC | 205 N LINCOLN AVE | WAGONER | OK | 744673915 | |||
| 1225178429 | WAGONER CARE CENTER LLC | 205 N LINCOLN AVE | WAGONER | OK | 744673915 |