Organization
RECEIVER CARE LLC
Active
Other names
Edwards Redeemer
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R. PAYNE (RECEIVER)
(405) 272-0511
Entity
Organization
Contact information
Practice address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 424-2273
(405) 424-2070
Mailing address
119 N ROBINSON AVE STE 400, OKLAHOMA CITY, OK 73102-4613
(405) 272-0511
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5549
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317210B
—
OK
Enumeration date
01/24/2011
Last updated
05/13/2011
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