# CPC-SHERWOOD MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sherwood Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497723621
- **Authorized official:** MR. KEVIN BRADLEY POUND (REGIONAL DIRECTOR)
- **Authorized official phone:** (228) 861-7598

## Contact information

- **Practice address:** 2416 W 51ST ST, TULSA, OK 74107-7700
- **Practice address phone:** (918) 446-4284
- **Practice address fax:** (918) 445-8811
- **Mailing address:** 2416 W 51ST ST, TULSA, OK 74107-7700
- **Mailing address phone:** (918) 446-4284
- **Mailing address fax:** (918) 445-8811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH72257225 | OK | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 05/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100771290A | — | OK |