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Organization
LINDSAY MANOR NURSING HOME INC
Active
Organization
LINDSAY MANOR NURSING HOME INC
Active
Other names
Legacy Living Center,
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE PITA (INSURANCE/MEDICARE)
(580) 622-6300
Entity
Organization
Contact information
Practice address
1103 W CHEROKEE ST, LINDSAY, OK 73052-5105
(405) 756-4334
(405) 756-3873
Mailing address
1103 W CHEROKEE, LINDSAY, OK 73052
(405) 756-4334
(405) 756-3873
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH25022502
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000375206002
BLUE CROSS BLUE SHIELD OK
OK
05
—
20045030A
—
OK
Enumeration date
10/03/2005
Last updated
05/22/2008
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