Phoenix Healthcare Llc in Grove - Nursing Facility/intermediate Care Facility

Phoenix Healthcare Llc - NPI 1356454094

Phoenix Healthcare Llc is a Nursing Facility/intermediate Care Facility in Grove, Oklahoma. Phoenix Healthcare Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Phoenix Healthcare Llc is 1356454094. The last update date is 2008-08-13.

Phoenix Healthcare Llc's current location address is 1503 W Har-ber Rd, Grove, Oklahoma. You can contact this provider via phone number 9187863223 and fax number 9187862664. The mailing address for Phoenix Healthcare Llc is 1503 W Har-ber Rd, Grove, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Phoenix Healthcare Llc
Address 1503 W Har-ber Rd, Grove, Oklahoma
Phone Number 9187863223
Fax Number 9187862664
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Tallman Les
Telephone Number 9187863223

NPI Number Detail

NPI Number 1356454094
Provider Enumeration Date 2006-08-16
Last Updated Date 2008-08-13

Provider Mailing Address Detail

Address 1503 W Har-ber Rd
City Grove
State Oklahoma (OK)
Post Code 74344
Phone Number 9187863223
Fax Number 9187862664

Provider's Primary Taxonomy Detail

Speciality Nursing Facility/intermediate Care Facility
Taxonomy 313M00000X
Licence No NH2106-2106
Definition:
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200040930F OK --

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FAQs about Phoenix Healthcare Llc

What is the unique 10-digit identifier code assigned to Phoenix Healthcare Llc by the Centers for Medicare & Medicaid Services?

The Phoenix Healthcare Llc has been issued the NPI (National Provider Identifier) 1356454094 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Phoenix Healthcare Llc's facilities are situated?

The facilities of Phoenix Healthcare Llc are physically located at the following address: 1503 W Har-Ber Rd, Grove, OK, 74344.

What is Phoenix Healthcare Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Phoenix Healthcare Llc's specialized field of practice is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of specialization is 313M00000X.

When did Phoenix Healthcare Llc receive its 1356454094 assignment?

The Phoenix Healthcare Llc was assigned its 1356454094 on 2006-08-16, which is the date when this unique identifier was issued to the organization.

When was the Phoenix Healthcare Llc's information last updated?

The Phoenix Healthcare Llc's information was last updated on 2008-08-13.

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