Grand Union Healthcare L.L.C, in Jay - Skilled Nursing Facility

Grand Union Healthcare L.L.C, - NPI 1013016864

Grand Union Healthcare L.L.C, is a Skilled Nursing Facility in Jay, Oklahoma. Grand Union Healthcare L.L.C, practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Grand Union Healthcare L.L.C, is 1013016864. The last update date is 2011-12-22.

Grand Union Healthcare L.L.C,'s current location address is Po Box 409, Jay, Oklahoma. You can contact this provider via phone number 9182534500 and fax number 9182536064. The mailing address for Grand Union Healthcare L.L.C, is Po Box 409, Jay, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grand Union Healthcare L.L.C,
Address Po Box 409, Jay, Oklahoma
Phone Number 9182534500
Fax Number 9182536064
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Matheson Orrise
Telephone Number 9182534500

NPI Number Detail

NPI Number 1013016864
Provider Enumeration Date 2006-09-21
Last Updated Date 2011-12-22

Provider Mailing Address Detail

Address Po Box 409
City Jay
State Oklahoma (OK)
Post Code 743460409
Phone Number 9182534500
Fax Number 9182536064

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
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
100778240A OK --

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FAQs about Grand Union Healthcare L.L.C,

What is the unique identifier code issued to Grand Union Healthcare L.L.C, by the Centers for Medicare & Medicaid Services?

The Grand Union Healthcare L.L.C, has been assigned the NPI (National Provider Identifier) 1013016864. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Grand Union Healthcare L.L.C, is physically located?

The Grand Union Healthcare L.L.C, is situated at the following address: Po Box 409, Jay, OK 743460409.

What is Grand Union Healthcare L.L.C,'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Grand Union Healthcare L.L.C,'s specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013016864 to Grand Union Healthcare L.L.C,?

The Centers for Medicare & Medicaid Services assigned the 1013016864 to Grand Union Healthcare L.L.C, on 2006-09-21.

When was the information pertaining to Grand Union Healthcare L.L.C, most recently updated or revised?

The details related to Grand Union Healthcare L.L.C,, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-22.

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