Organization
BEDLAM PROPERTIES, LLC
Active
Other names
Blackwell Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY W YOUNG (MEMBER/MANAGER)
(918) 622-4799
Entity
Organization
Contact information
Practice address
1315 S 11TH ST, BLACKWELL, OK 74631-4613
(580) 363-1624
(580) 363-3977
Mailing address
4500 S GARNETT RD, SUITE 610, TULSA, OK 74146-5229
(918) 622-4799
(918) 622-4798
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH36013601
OK
Other
Enumeration date
10/19/2005
Last updated
08/22/2020
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