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Elmbrook Home, Inc.
Nursing Facility/Intermediate Care Facility in Ardmore, Oklahoma
NPI 1275532616

Elmbrook Home, Inc. is a Nursing Facility/Intermediate Care Facility based in Ardmore, OK. Elmbrook Home, Inc. practices in Ardmore, OK. The NPI Number for Elmbrook Home, Inc. is 1275532616 and holds a License No. NH10031003 (Oklahoma).

The current practice location address for Elmbrook Home, Inc. is 1811 9Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-223-3303 and via fax at 580-223-1763.

Location: 1811 9Th Ave Nw, Ardmore, OK, 73401-2326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275532616
Provider Name
Elmbrook Home, Inc.
Credential
Provider Entity Type
Organization
Address
1811 9Th Ave Nw, Ardmore, OK, 73401-2326
Phone Number
580-223-3303
Fax Number
580-223-1763
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100776890A 05 OK
institution
Provider Business Practice Location Address Details
Address
1811 9Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-2326
Phone Number
580-223-3303
Fax Number
580-223-1763
person
Provider Business Mailing Address Details
Address
1811 9Th Ave Nw
City
Ardmore
State
Oklahoma
Zip
73401-2326
Phone Number
580-223-3303
Fax Number
580-223-1763
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH10031003 (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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