Organization
HEARTWAY CORPORATION
Active
Other names
York Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUZETTE BAUCOM (TREASURER)
(580) 286-1065
Entity
Organization
Contact information
Practice address
500 S YORK ST, MUSKOGEE, OK 74403
(918) 682-6724
(918) 682-8090
Mailing address
500 S YORK ST, MUSKOGEE, OK 74403-5956
(918) 682-6724
(918) 682-8090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5112-5112
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100779190A
—
OK
Enumeration date
01/03/2006
Last updated
02/16/2026
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