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AUTUMN WOOD OPCO, LLC

Alzheimer Center

Claremore, Oklahoma

Provider NPI: 1184059982

Organization Information:
Organization Name:  AUTUMN WOOD OPCO, LLC


Practice Location:
2700 N HICKORY ST  CLAREMORE, OK 74017 US
Tel: 918-283-4949  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
OKNH6609
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
OK375553

Other Provider Identifiers:

IssuerNumberStateType
200478150AOK05
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