Azalea Park Manor Llc in Muskogee - Skilled Nursing Facility
Azalea Park Manor Llc - NPI 1699870329
Azalea Park Manor Llc is a Skilled Nursing Facility in Muskogee, Oklahoma. Azalea Park Manor Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Azalea Park Manor Llc is 1699870329. The last update date is 2020-03-23.
Azalea Park Manor Llc's current location address is 5800 W Okmulgee St, Muskogee, Oklahoma. You can contact this provider via phone number 9186832914 and fax number 9186833167. The mailing address for Azalea Park Manor Llc is 5800 W Okmulgee St, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Azalea Park Manor Llc |
|---|---|
| Address | 5800 W Okmulgee St, Muskogee, Oklahoma |
| Phone Number | 9186832914 |
| Fax Number | 9186833167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Dimond Mike |
| Telephone Number | 4059431144 |
NPI Number Detail
| NPI Number | 1699870329 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-03-23 |
Provider Mailing Address Detail
| Address | 5800 W Okmulgee St |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744014552 |
| Phone Number | 9186832914 |
| Fax Number | 9186833167 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH5106-5106 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100772250A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Azalea Park Manor Llc by the Centers for Medicare & Medicaid Services?
The Azalea Park Manor Llc has been issued the NPI (National Provider Identifier) 1699870329, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Azalea Park Manor Llc's physical address?
The Azalea Park Manor Llc is physically located at 5800 W Okmulgee St, in the city of Muskogee, OK, with the postal code 744014552.
What is Azalea Park Manor Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Azalea Park Manor Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699870329 to Azalea Park Manor Llc?
The Centers for Medicare & Medicaid Services assigned the 1699870329 to Azalea Park Manor Llc on 2006-09-14.
When was the information regarding Azalea Park Manor Llc most recently updated?
The details pertaining to the Azalea Park Manor Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-03-23.
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