Organization
DR W F AND MADA DUNAWAY MANOR NURSING HOME OF GUYMON INC
Active
Other names
Heritage Community
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE DARDEU ROBERTS (BOARD PRESIDENT)
(580) 338-8792
Entity
Organization
Contact information
Practice address
1401 N. LELIA, GUYMON, OK 73942
(580) 338-3186
(580) 338-8688
Mailing address
1401 N. LELIA, P.O. BOX 831, GUYMON, OK 73942
(580) 338-3186
(580) 338-8688
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7001
OK
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775090A
—
OK
Enumeration date
12/06/2006
Last updated
10/22/2013
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