# OPCO CLEVELAND, OK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Manor Nursing & Rehabilitaiton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255920104
- **Authorized official:** ISAAC DOLE (PRESIDENT OF MANAGER)
- **Authorized official phone:** (773) 645-9246

## Contact information

- **Practice address:** 900 N DIVISION ST, CLEVELAND, OK 74020-1222
- **Practice address phone:** (918) 358-3135
- **Mailing address:** 2045 W GRAND AVE STE B34572, CHICAGO, IL 60612-1576
- **Mailing address phone:** (312) 724-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 10/29/2024