Okmulgee Terrace, Llc in Sallisaw - Intermediate Care Facility, Intellectual Disabilities
Okmulgee Terrace, Llc - NPI 1093816100
Okmulgee Terrace, Llc is a Intermediate Care Facility, Intellectual Disabilities in Sallisaw, Oklahoma. Okmulgee Terrace, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Okmulgee Terrace, Llc is 1093816100. The last update date is 2020-08-22.
Okmulgee Terrace, Llc's current location address is Po Box 429, Sallisaw, Oklahoma. You can contact this provider via phone number 9187754439 and fax number 9187759242. The mailing address for Okmulgee Terrace, Llc is Po Box 429, Sallisaw, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Okmulgee Terrace, Llc |
|---|---|
| Address | Po Box 429, Sallisaw, Oklahoma |
| Phone Number | 9187754439 |
| Fax Number | 9187759242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Moran Douglas Kevin |
| Telephone Number | 9187754439 |
NPI Number Detail
| NPI Number | 1093816100 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 429 |
|---|---|
| City | Sallisaw |
| State | Oklahoma (OK) |
| Post Code | 749550429 |
| Phone Number | 9187754439 |
| Fax Number | 9187759242 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | NH5607-5607 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Okmulgee Terrace, Llc by the Centers for Medicare & Medicaid Services?
The Okmulgee Terrace, Llc has been assigned the NPI (National Provider Identifier) 1093816100 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Okmulgee Terrace, Llc's facilities are geographically located?
The facilities of Okmulgee Terrace, Llc are physically situated at the following location: Po Box 429, Sallisaw, OK, 749550429.
What is the Okmulgee Terrace, Llc's area of specialization and corresponding taxonomy classification?
The Okmulgee Terrace, Llc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
When was the Okmulgee Terrace, Llc's 1093816100 issued?
The Okmulgee Terrace, Llc's 1093816100 was issued on 2006-09-25.
When was the information related to Okmulgee Terrace, Llc most recently updated or refreshed?
The details pertaining to the Okmulgee Terrace, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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