# GARDEN MANOR REHAB AND NURSING OF SOUTHWEST LLC

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

## Provider details

- **NPI number:** 1518405547
- **Authorized official:** DAVID GAMZEH (MANAGER)
- **Authorized official phone:** (917) 232-8045

## Contact information

- **Practice address:** 5600 S WALKER AVE, OKLAHOMA CITY, OK 73109-8314
- **Practice address phone:** (405) 632-7771
- **Practice address fax:** (405) 632-2406
- **Mailing address:** 99 W HAWTHORNE AVE STE L10, VALLEY STREAM, NY 11580-6126

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 11/04/2024