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MEADOW BROOK ICF/MR #2

Intermediate Care Facility, Mental Illness

Howe, Oklahoma

Provider NPI: 1164684957

Organization Information:
Organization Name:  MEADOW BROOK ICF/MR #2


Practice Location:
1500 MEADOW LANE  HOWE, OK 74940 US
Tel: 918-658-3656  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
OKNH4004-4004

Other Provider Identifiers:

IssuerNumberStateType
OKLAHOMA STATE DEPARTMENT OF HEALTHNH4004-4004OK01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS OK - Page 1