# EDWARDS REDEEMER NURSING CENTER, LLC

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

## Provider details

- **NPI number:** 1851487508
- **Authorized official:** MRS. DONNA R SIMMONS (OFFICE MANAGER)
- **Authorized official phone:** (405) 786-2266

## Contact information

- **Practice address:** 1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
- **Practice address phone:** (405) 424-2273
- **Practice address fax:** (405) 424-2070
- **Mailing address:** PO BOX 488, WELEETKA, OK 74880-0488
- **Mailing address phone:** (405) 786-2266
- **Mailing address fax:** (405) 786-2388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH5549-5549 | OK | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020