Shawn Manor Nursing Home

NPI 1164461570 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1164461570
Enumeration Date 06/05/2006
Last Updated 02/13/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICKIE LEE VICKIE
Position QUALITY ASSURANCE
Phone (580) 765-3364
Fax (580) 765-3376
Practice Location
2024 TURNER ROAD
PONCA CITY OK, 74604-2732, US
Phone (580) 765-3364
Fax (580) 765-3376
Business Location
2024 TURNER ROAD
PONCA CITY OK, 74604-2732, US
Phone (580) 765-3364
Fax (580) 765-3376
Toxanomy
Taxonomy Code 313M00000X
License State Oklahoma
License Number NH3607-3607
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According to our database, Shawn Manor Nursing Home NPI is 1164461570, taxonomy code is 313M00000X and license number is NH3607-3607, license state is located at Oklahoma. Shawn Manor Nursing Home physically located at 2024 Turner Road, Ponca City OK, 74604-2732. NPI Number 1033115704 has the healthcare provider type.

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1164461570 NPI number is provided on an as is basis without warranty of any kind. 1164461570 is maintained by the National Plan & Provider Enumeration System. The contents of Shawn Manor Nursing Home are for informational purposes only.