# ROSE MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rose Manor Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144387259
- **Authorized official:** MRS. LINDA JEANNE PRAYTOR RN (OWNER)
- **Authorized official phone:** (405) 598-5613

## Contact information

- **Practice address:** 1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
- **Practice address phone:** (405) 275-9004
- **Practice address fax:** (405) 275-9472
- **Mailing address:** 1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
- **Mailing address phone:** (405) 275-9004
- **Mailing address fax:** (405) 275-9472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH6301-6301 | OK | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 02/13/2008