# HERITAGE MANOR MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1679328728
- **Authorized official:** MR. ADAMSON UNDERWOOD (CEO)
- **Authorized official phone:** (405) 556-5333

## Contact information

- **Practice address:** 3804 N BARR AVE, OKLAHOMA CITY, OK 73122-2410
- **Practice address phone:** (405) 789-7103
- **Mailing address:** 617 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4426
- **Mailing address phone:** (405) 556-5333

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2024
- **Last updated:** 04/22/2024