Organization
ROSE MANOR, LLC
Active
Other names
Rose Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA JEANNE PRAYTOR RN (OWNER)
(405) 598-5613
Entity
Organization
Contact information
Practice address
1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
(405) 275-9004
(405) 275-9472
Mailing address
1610 NORTH BRYAN, SHAWNEE, OK 74804-4229
(405) 275-9004
(405) 275-9472
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH6301-6301
OK
Other
Enumeration date
01/02/2007
Last updated
02/13/2008
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