# MANOR CARE OF MIDWEST CITY OK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ManorCare Health Services - Midwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033341698
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 2900 PARKLAWN DR, MIDWEST CITY, OK 73110-4204
- **Practice address phone:** (405) 737-6601
- **Practice address fax:** (405) 737-4984
- **Mailing address:** 333 N SUMMIT ST, ATTN BARRY A LAZARUS, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 252-5541
- **Mailing address fax:** (419) 254-5494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH55125512 | OK | Yes |

## Other

- **Enumeration date:** 08/17/2009
- **Last updated:** 12/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200268710A | — | OK |