Organization
LTAC HOSPITAL OF EDMOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY W. HOWARD (PRESIDENT)
(337) 269-9566
Entity
Organization
Contact information
Practice address
4300 W MEMORIAL RD FL 2, OKLAHOMA CITY, OK 73120-8304
(405) 936-5822
(405) 936-5559
Mailing address
101 LA RUE FRANCE, SUITE 500, LAFAYETTE, LA 70508-3144
(337) 269-9566
(337) 234-1075
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
01/23/2019
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