Organization
WOOD MANOR OPCO L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MERE (ASSOCIATE)
(325) 691-5519
Entity
Organization
Contact information
Practice address
2800 N HICKORY ST, CLAREMORE, OK 74017-1086
(918) 341-4365
(918) 341-7218
Mailing address
2800 N HICKORY ST, CLAREMORE, OK 74017-0808
(918) 341-4365
(918) 341-7218
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
375499
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NH6603
—
OK
Enumeration date
09/11/2013
Last updated
07/21/2022
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