# CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EPWORTH LIVING
- **Other names:** Epworth Villa
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1114922598
- **Legal business name:** EPWORTH LIVING
- **Authorized official:** KENNETH LEE BULLOCK (CFO)
- **Authorized official phone:** (405) 749-3516

## Contact information

- **Practice address:** 14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134
- **Practice address phone:** (405) 752-1200
- **Practice address fax:** (405) 755-5106
- **Mailing address:** 14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
- **Mailing address phone:** (405) 752-1200
- **Mailing address fax:** (405) 755-5106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | CC5504 | OK | Yes |
| 314000000X | Skilled Nursing Facility | CC5504 | OK | — |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 07/08/2019