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Organization
ROSE MANOR, LLC
Active
Organization
ROSE MANOR, LLC
Active
Other names
Rose Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA JEANNE PRAYTOR RN (OWNER)
(405) 598-5613
Entity
Organization
Contact information
Practice address
1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
(405) 275-9004
(405) 275-9472
Mailing address
1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
(405) 275-9004
(405) 275-9472
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH6301-6301
OK
Other
Enumeration date
01/02/2007
Last updated
02/13/2008
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