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FOUNTAIN VIEW MANOR, INC

Alzheimer Center

Henryetta, Oklahoma

Provider NPI: 1124026448

Organization Information:
Organization Name:  FOUNTAIN VIEW MANOR, INC


Practice Location:
107 E BARCLAY ST  HENRYETTA, OK 74437 US
Tel: 918-652-7021  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
OKNH56035603
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
OKNH56035603
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OK375462

Other Provider Identifiers:

IssuerNumberStateType
100773730AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS OK - Page 1



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