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Organization
IHS ACQUISITION NO. 100, INC.
Active
Organization
IHS ACQUISITION NO. 100, INC.
Active
Other names
Bryant Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT DIKE (PRESIDENT)
(405) 341-5617
Entity
Organization
Contact information
Practice address
1100 E 9TH ST, EDMOND, OK 73034-5705
(405) 341-5617
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH-5543-5543
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N5220670673
—
OK
Enumeration date
07/20/2006
Last updated
03/19/2008
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