# BURFORD MANOR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497748180
- **Authorized official:** MRS. KIMBERLY J BOWLES (ADMINISTRATOR)
- **Authorized official phone:** (580) 369-2369

## Contact information

- **Practice address:** 505 S 7TH ST, DAVIS, OK 73030-3136
- **Practice address phone:** (580) 369-2369
- **Practice address fax:** (580) 369-2445
- **Mailing address:** 505 S 7TH ST, DAVIS, OK 73030-3136
- **Mailing address phone:** (580) 369-2369
- **Mailing address fax:** (580) 369-2445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH5002-5002 | OK | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 08/22/2020
