Perry Green Valley Nursing Home Llc in Perry - Skilled Nursing Facility

Perry Green Valley Nursing Home Llc - NPI 1003027921

Perry Green Valley Nursing Home Llc is a Skilled Nursing Facility in Perry, Oklahoma. Perry Green Valley Nursing Home Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Perry Green Valley Nursing Home Llc is 1003027921. The last update date is 2012-04-19.

Perry Green Valley Nursing Home Llc's current location address is 1103 Birch St, Perry, Oklahoma. You can contact this provider via phone number 5803362285 and fax number 5803363445. The mailing address for Perry Green Valley Nursing Home Llc is 1103 Birch St, Perry, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Perry Green Valley Nursing Home Llc
Address 1103 Birch St, Perry, Oklahoma
Phone Number 5803362285
Fax Number 5803363445
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE MEMBE
Authorized Official Name Hastings Tandie
Telephone Number 4052826285

NPI Number Detail

NPI Number 1003027921
Provider Enumeration Date 2007-05-24
Last Updated Date 2012-04-19

Provider Mailing Address Detail

Address 1103 Birch St
City Perry
State Oklahoma (OK)
Post Code 730776269
Phone Number 5803362285
Fax Number 5803363445

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NH5202
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200114510A OK --

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FAQs about Perry Green Valley Nursing Home Llc

What is the unique 10-digit identification code assigned to Perry Green Valley Nursing Home Llc by the Centers for Medicare & Medicaid Services?

The Perry Green Valley Nursing Home Llc has been issued the NPI (National Provider Identifier) 1003027921, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Perry Green Valley Nursing Home Llc?

The Perry Green Valley Nursing Home Llc is physically situated at 1103 Birch St, in the city of Perry, state of OK, with the postal code 730776269.

What is Perry Green Valley Nursing Home Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Perry Green Valley Nursing Home Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

When did the Perry Green Valley Nursing Home Llc receive its 1003027921?

The Perry Green Valley Nursing Home Llc was issued its 1003027921 on 2007-05-24, which is the date when the organization was assigned this unique identifier.

When was the Perry Green Valley Nursing Home Llc's information last updated?

The Perry Green Valley Nursing Home Llc's information was last updated on 2012-04-19.

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