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Organization

MANOR CARE OF OKLAHOMA CITY (NORTHWEST) LLC

Active
Other names
ManorCare Health Services - Northwest
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
(419) 252-5541
Entity
Organization

Contact information

Practice address
5301 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3516
(405) 946-3351
(405) 948-6132
Mailing address
333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 254-5494

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH55135513
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200264150A
OK
Enumeration date
08/17/2009
Last updated
12/22/2009
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