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Organization
RECEIVER CARE LLC
Active
Organization
RECEIVER CARE LLC
Active
Other names
Northwest Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. PAYNE (RECEIVER)
(405) 272-0511
Entity
Organization
Contact information
Practice address
2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
(405) 842-6601
(405) 810-8482
Mailing address
119 N ROBINSON AVE STE 400, OKLAHOMA CITY, OK 73102-4613
(405) 272-0511
(405) 272-0501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317210A
—
OK
Enumeration date
01/20/2011
Last updated
05/13/2011
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