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WOODLAWN LP

Intermediate Care Facility, Mentally Retarded

Guthrie, Oklahoma

Provider NPI: 1679565709

Organization Information:
Organization Name:  WOODLAWN LP


Practice Location:
405 N 20TH ST  GUTHRIE, OK 73044 US
Tel: 405-282-1517  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
OKNH4208

Other Provider Identifiers:

IssuerNumberStateType
100771000AOK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS OK - Page 1



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