Organization
EDMOND MEMORY CARE, LLC
Active
Other names
Autumn Leaves of Edmond
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER RIO (VP OF MANAGEMENT-SENIOR LIVING)
(214) 845-4500
Entity
Organization
Contact information
Practice address
1001 S BRYANT AVE, EDMOND, OK 73034-5745
(405) 341-1450
(405) 341-1451
Mailing address
545 E JOHN CARPENTER FWY, SUITE 500, IRVING, TX 75062-3931
(214) 845-4500
(214) 845-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5598-5598
OK
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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