# RECEIVER CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edwards Redeemer
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518262401
- **Authorized official:** MR. DAVID R. PAYNE (RECEIVER)
- **Authorized official phone:** (405) 272-0511

## Contact information

- **Practice address:** 1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
- **Practice address phone:** (405) 424-2273
- **Practice address fax:** (405) 424-2070
- **Mailing address:** 119 N ROBINSON AVE STE 400, OKLAHOMA CITY, OK 73102-4613
- **Mailing address phone:** (405) 272-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH5549 | OK | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 05/13/2011

## Other identifiers

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