# MIDWEST CITY HEALTHCARE RESIDENCE OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest City Healthcare Residence
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558754564
- **Authorized official:** JOE NEUMAN (CEO)
- **Authorized official phone:** (214) 396-3462

## Contact information

- **Practice address:** 8200 NATIONAL AVE, MIDWEST CITY, OK 73110-8518
- **Practice address phone:** (405) 737-8200
- **Practice address fax:** (405) 622-2231
- **Mailing address:** 111 CLIFTON AVE, LAKEWOOD, NJ 08701-3342
- **Mailing address phone:** (214) 396-3462

## Taxonomy

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

## Other

- **Enumeration date:** 03/16/2015
- **Last updated:** 03/16/2015