# BIXBY MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bixby Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659445377
- **Authorized official:** MR. WAYNE WOOD (OWNER)
- **Authorized official phone:** (918) 366-4492

## Contact information

- **Practice address:** 76 W RACHEL ST, BIXBY, OK 74008-4908
- **Practice address phone:** (918) 366-4491
- **Practice address fax:** (918) 366-6220
- **Mailing address:** PO BOX 670, BIXBY, OK 74008-0670
- **Mailing address phone:** (918) 366-4492
- **Mailing address fax:** (918) 366-6220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7203-7203 | OK | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 01/24/2008