# CEDAR HOLDING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306810742
- **Authorized official:** MS. DEBORAH K. KELSOE (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (918) 473-5598

## Contact information

- **Practice address:** 1001 W GENTRY AVE, CHECOTAH, OK 74426-2046
- **Practice address phone:** (918) 473-2247
- **Mailing address:** PO BOX 429, CHECOTAH, OK 74426-0429
- **Mailing address phone:** (918) 473-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH 4601-4601 | OK | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | NH 4601-4601 | — | OK |