# WOOD MANOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wood Manor Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922104199
- **Authorized official:** MRS. JANICE SHIVELY (ADMINISTRATOR)
- **Authorized official phone:** (918) 341-4365

## Contact information

- **Practice address:** 2800 HICKORY ST, CLAREMORE, OK 74017-1086
- **Practice address phone:** (918) 341-4365
- **Practice address fax:** (918) 341-7128
- **Mailing address:** PO BOX 808, CLAREMORE, OK 74018-0808
- **Mailing address phone:** (918) 341-4365
- **Mailing address fax:** (918) 341-7128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH6603-6603 | OK | — |
| 314000000X | Skilled Nursing Facility | NH6603-6603 | OK | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100770000A | — | OK |