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Organization
FOUR SEASONS NURSING CENTER INC
Active
Organization
FOUR SEASONS NURSING CENTER INC
Active
Other names
ManorCare Health Services - Midwest
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
2900 PARKLAWN DR, MIDWEST CITY, OK 73110-4204
(405) 737-6601
(405) 737-4984
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-5512-5512
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100773680A
—
OK
Enumeration date
06/17/2006
Last updated
08/07/2009
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