# BRYANT HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Living Center of Edmond
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902054059
- **Authorized official:** RAJ K. NARULA (DIRECT OWNER)
- **Authorized official phone:** (405) 737-2106

## Contact information

- **Practice address:** 1100 E 9TH ST, EDMOND, OK 73034-5705
- **Practice address phone:** (405) 341-5617
- **Practice address fax:** (405) 341-1792
- **Mailing address:** 1380 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5215
- **Mailing address phone:** (405) 737-2106
- **Mailing address fax:** (405) 737-0899

## Taxonomy

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

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008