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Organization
CPC-SHERWOOD MANOR, INC.
Active
Organization
CPC-SHERWOOD MANOR, INC.
Active
Other names
Sherwood Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN BRADLEY POUND (REGIONAL DIRECTOR)
(228) 861-7598
Entity
Organization
Contact information
Practice address
2416 W 51ST ST, TULSA, OK 74107-7700
(918) 446-4284
(918) 445-8811
Mailing address
2416 W 51ST ST, TULSA, OK 74107-7700
(918) 446-4284
(918) 445-8811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH72257225
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100771290A
—
OK
Enumeration date
03/14/2006
Last updated
05/08/2012
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