University Northwest Llc

NPI 1487759023 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487759023
Enumeration Date 09/14/2006
Last Updated 04/02/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE P MIKE
Position MANAGER
Phone (918) 456-6181
Fax (918) 456-1512
Practice Location
1201 N VINITA AVE
TAHLEQUAH OK, 74464-6429, US
Phone (918) 456-6181
Fax (918) 456-1512
Business Location
1201 N VINITA AVE
TAHLEQUAH OK, 74464-6429, US
Phone (918) 456-6181
Fax (918) 456-1512
Toxanomy
Taxonomy Code 314000000X
License State Oklahoma
License Number NH1101-1101
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According to our database, University Northwest Llc NPI is 1487759023, taxonomy code is 314000000X and license number is NH1101-1101, license state is located at Oklahoma. University Northwest Llc physically located at 1201 N Vinita Ave, Tahlequah OK, 74464-6429. NPI Number 1033115704 has the healthcare provider type.

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1487759023 NPI number is provided on an as is basis without warranty of any kind. 1487759023 is maintained by the National Plan & Provider Enumeration System. The contents of University Northwest Llc are for informational purposes only.