# SHAWN MANOR NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HNMS, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164461570
- **Authorized official:** MRS. VICKIE LEE WRIGHT HS (QUALITY ASSURANCE)
- **Authorized official phone:** (580) 765-3364

## Contact information

- **Practice address:** 2024 TURNER ROAD, PONCA CITY, OK 74604-2732
- **Practice address phone:** (580) 765-3364
- **Practice address fax:** (580) 765-3376
- **Mailing address:** 2024 TURNER ROAD, PONCA CITY, OK 74604-2732
- **Mailing address phone:** (580) 765-3364
- **Mailing address fax:** (580) 765-3376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH3607-3607 | OK | Yes |

## Other

- **Enumeration date:** 06/05/2006
- **Last updated:** 02/13/2008
