N & R SHAWNEE LLC
Skilled Nursing Facility
Shawnee, Oklahoma
Provider NPI: 1508869033
Organization Information:Organization Name: N & R SHAWNEE LLC
Practice Location:
535 W FEDERAL ST SHAWNEE, OK 74804 US
Tel: 405-273-7661 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:
535 W FEDERAL ST SHAWNEE, OK 74804 US
Tel: 405-273-7661 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OK | NH6311-6311 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200017280A | OK | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin