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Tidwell Healthcare, Llc
Nursing Facility/Intermediate Care Facility in Wilburton, Oklahoma
NPI 1023430741

Tidwell Healthcare, Llc is a Nursing Facility/Intermediate Care Facility based in Wilburton, OK. Tidwell Healthcare, Llc practices in Wilburton, OK. The NPI Number for Tidwell Healthcare, Llc is 1023430741 and holds a License No. NH3903-3903 (Oklahoma).

The current practice location address for Tidwell Healthcare, Llc is 900 Ranchwood Dr, Wilburton, OK and can be reached out via phone at 918-465-5020 and via fax at 918-465-5007.

Location: 900 Ranchwood Dr, Wilburton, OK, 74578-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023430741
Provider Name
Tidwell Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
900 Ranchwood Dr, Wilburton, OK, 74578-3630
Phone Number
918-465-5020
Fax Number
918-465-5007
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200522320A 05 OK
institution
Provider Business Practice Location Address Details
Address
900 Ranchwood Dr
City
Wilburton
State
Oklahoma
Zip
74578-3630
Phone Number
918-465-5020
Fax Number
918-465-5007
person
Provider Business Mailing Address Details
Address
900 Ranchwood Dr
City
Wilburton
State
Oklahoma
Zip
74578-3630
Phone Number
918-465-5020
Fax Number
918-465-5007
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH3903-3903 (Oklahoma)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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