Organization
WOOD MANOR, INC.
Active
Other names
Wood Manor Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE SHIVELY (ADMINISTRATOR)
(918) 341-4365
Entity
Organization
Contact information
Practice address
2800 HICKORY ST, CLAREMORE, OK 74017-1086
(918) 341-4365
(918) 341-7128
Mailing address
PO BOX 808, CLAREMORE, OK 74018-0808
(918) 341-4365
(918) 341-7128
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH6603-6603
OK
314000000X
Skilled Nursing Facility
Primary
NH6603-6603
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100770000A
—
OK
Enumeration date
09/15/2006
Last updated
09/11/2009
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