# BEDLAM PROPERTIES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blackwell Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952390163
- **Authorized official:** MR. JEFFREY W YOUNG (MEMBER/MANAGER)
- **Authorized official phone:** (918) 622-4799

## Contact information

- **Practice address:** 1315 S 11TH ST, BLACKWELL, OK 74631-4613
- **Practice address phone:** (580) 363-1624
- **Practice address fax:** (580) 363-3977
- **Mailing address:** 4500 S GARNETT RD, SUITE 610, TULSA, OK 74146-5229
- **Mailing address phone:** (918) 622-4799
- **Mailing address fax:** (918) 622-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH36013601 | OK | Yes |

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 08/22/2020