Parkland Manor Living Center Llc in Prague - Skilled Nursing Facility

Parkland Manor Living Center Llc - NPI 1164422416

Parkland Manor Living Center Llc is a Skilled Nursing Facility in Prague, Oklahoma. Parkland Manor Living Center Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Parkland Manor Living Center Llc is 1164422416. The last update date is 2014-08-14.

Parkland Manor Living Center Llc's current location address is 200 W Parkland, Prague, Oklahoma. You can contact this provider via phone number 4055672201 and fax number 4055672395. The mailing address for Parkland Manor Living Center Llc is 200 W Parkland, Prague, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Parkland Manor Living Center Llc
Address 200 W Parkland, Prague, Oklahoma
Phone Number 4055672201
Fax Number 4055672395
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING M
Authorized Official Name Justice Julie
Telephone Number 4054473911

NPI Number Detail

NPI Number 1164422416
Provider Enumeration Date 2005-07-28
Last Updated Date 2014-08-14

Provider Mailing Address Detail

Address 200 W Parkland
City Prague
State Oklahoma (OK)
Post Code 74864
Phone Number 4055672201
Fax Number 4055672395

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No NH4103
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
100770310A OK --

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FAQs about Parkland Manor Living Center Llc

What is the Parkland Manor Living Center Llc's 1164422416?

The Parkland Manor Living Center Llc's NPI (National Provider Identifier) Number is 1164422416. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Parkland Manor Living Center Llc's facilities are situated?

The facilities of Parkland Manor Living Center Llc are physically located at the following address: 200 W Parkland, Prague, OK, 74864.

What is Parkland Manor Living Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Parkland Manor Living Center 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 1164422416 to Parkland Manor Living Center Llc?

The Centers for Medicare & Medicaid Services assigned the 1164422416 to Parkland Manor Living Center Llc on 2005-07-28.

As of what date were the details pertaining to Parkland Manor Living Center Llc last refreshed?

The information related to the Parkland Manor Living Center Llc, including its address, specialty, and other relevant details, was last updated on 2014-08-14.

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