CPC-SHERWOOD MANOR, INC.
Assisted Living Facility
Tulsa, Oklahoma
Provider NPI: 1497723621
Organization Information:Organization Name: CPC-SHERWOOD MANOR, INC.
Practice Location:
2416 W 51ST ST TULSA, OK 74107 US
Tel: 918-446-4284 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2416 W 51ST ST TULSA, OK 74107 US
Tel: 918-446-4284 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OK | NH72257225 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100771290A | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin