Lakeland Manor Inc in Ardmore - Skilled Nursing Facility
Lakeland Manor Inc - NPI 1578655817
Lakeland Manor Inc is a Skilled Nursing Facility in Ardmore, Oklahoma. Lakeland Manor Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Lakeland Manor Inc is 1578655817. The last update date is 2020-08-22.
Lakeland Manor Inc's current location address is Po Box 128, Ardmore, Oklahoma. You can contact this provider via phone number 5804909200 and fax number 5804909201. The mailing address for Lakeland Manor Inc is Po Box 128, Ardmore, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeland Manor Inc |
|---|---|
| Address | Po Box 128, Ardmore, Oklahoma |
| Phone Number | 5804909200 |
| Fax Number | 5804909201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Porter Gary |
| Credentials | PH.D., J.D |
| Telephone Number | 5804909200 |
NPI Number Detail
| NPI Number | 1578655817 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 128 |
|---|---|
| City | Ardmore |
| State | Oklahoma (OK) |
| Post Code | 734020128 |
| Phone Number | 5804909200 |
| Fax Number | 5804909201 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH1005-1005 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Post Comment/ Review Below
What is the unique identifier code issued to Lakeland Manor Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Lakeland Manor Inc has been assigned the NPI (National Provider Identifier) 1578655817. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lakeland Manor Inc is physically located?
The Lakeland Manor Inc is physically situated at the following address: Po Box 128, Ardmore, OK, 734020128.
What is the Lakeland Manor Inc's specialty and taxonomy code?
The Lakeland Manor Inc's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Lakeland Manor Inc receive its 1578655817 assignment from the Centers for Medicare & Medicaid Services?
The Lakeland Manor Inc was assigned its 1578655817 by the Centers for Medicare & Medicaid Services on 2006-09-28.
When was the Lakeland Manor Inc's information last updated?
The Lakeland Manor Inc's information was last updated on 2020-08-22.