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Organization

CRANE YOUNG AND ASSOCIATES INC

Active
Other names
HERITAGE MANOR
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JUDY M CRANE (PRESIDENT)
(405) 942-3884
Entity
Organization

Contact information

Practice address
3804 N BARR AVE, OKLAHOMA CITY, OK 73122-2410
(405) 789-7945
(405) 787-4061
Mailing address
3714 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2924
(405) 942-3884
(405) 946-2642

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH5522-5522
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200055480A
OK
Enumeration date
06/21/2006
Last updated
08/17/2009
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