Organization
GRAND UNION HEALTHCARE
Active
Other names
Monroe Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ORRISE MATHESON (ADMINISTRATOR)
(918) 253-4500
Entity
Organization
Contact information
Practice address
226 E MONROE, JAY, OK 74346
(918) 253-4500
(918) 253-6064
Mailing address
PO BOX 409, JAY, OK 74346-0409
(918) 253-4500
(918) 253-6064
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH2104-2104
OK
Other
Enumeration date
12/29/2005
Last updated
08/22/2020
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