# RECEIVER CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326343419
- **Authorized official:** MR. DAVID R. PAYNE (RECEIVER)
- **Authorized official phone:** (405) 272-0511

## Contact information

- **Practice address:** 2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
- **Practice address phone:** (405) 842-6601
- **Practice address fax:** (405) 810-8482
- **Mailing address:** 119 N ROBINSON AVE STE 400, OKLAHOMA CITY, OK 73102-4613
- **Mailing address phone:** (405) 272-0511
- **Mailing address fax:** (405) 272-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH5524 | OK | Yes |

## Other

- **Enumeration date:** 01/20/2011
- **Last updated:** 05/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200317210A | — | OK |