Organization
RECEIVER CARE LLC
Active
Other names
Northwest Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. PAYNE (RECEIVER)
(405) 272-0511
Entity
Organization
Contact information
Practice address
2801 NW 61ST ST, OKLAHOMA CITY, OK 73112-7007
(405) 842-6601
(405) 810-8482
Mailing address
119 N ROBINSON AVE STE 400, OKLAHOMA CITY, OK 73102-4613
(405) 272-0511
(405) 272-0501
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5524
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317210A
—
OK
Enumeration date
01/20/2011
Last updated
05/13/2011
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