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Organization
FOUR SEASONS NURSING CENTERS INC
Active
Organization
FOUR SEASONS NURSING CENTERS INC
Active
Other names
ManorCare Health Services - Southwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
5600 S WALKER AVE, OKLAHOMA CITY, OK 73109-8314
(405) 632-7771
(405) 632-2406
Mailing address
333 N SUMMIT ST, ATTN: BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 252-5548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH-5514-5514
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772760A
—
OK
Enumeration date
06/09/2006
Last updated
08/07/2009
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