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Organization

CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC

Active
Parent organization
EPWORTH LIVING
Other names
Epworth Villa
Organization subpart
Yes

Provider details

NPI number
Legal business name
EPWORTH LIVING
Authorized official
KENNETH LEE BULLOCK (CFO)
(405) 749-3516
Entity
Organization

Contact information

Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134
(405) 752-1200
(405) 755-5106
Mailing address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 752-1200
(405) 755-5106

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
CC5504
OK
314000000X
Skilled Nursing Facility
CC5504
OK

Other

Enumeration date
06/14/2005
Last updated
07/08/2019
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