Organization
EDWARDS REDEEMER NURSING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA R SIMMONS (OFFICE MANAGER)
(405) 786-2266
Entity
Organization
Contact information
Practice address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 424-2273
(405) 424-2070
Mailing address
PO BOX 488, WELEETKA, OK 74880-0488
(405) 786-2266
(405) 786-2388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5549-5549
OK
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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