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Phoenix Healthcare Llc
Nursing Facility/Intermediate Care Facility in Grove, Oklahoma
NPI 1356454094

Phoenix Healthcare Llc is a Nursing Facility/Intermediate Care Facility based in Grove, OK. Phoenix Healthcare Llc practices in Grove, OK. The NPI Number for Phoenix Healthcare Llc is 1356454094 and holds a License No. NH2106-2106 (Oklahoma).

The current practice location address for Phoenix Healthcare Llc is 1503 Har-Ber Rd, Grove, OK and can be reached out via phone at 918-786-3223 and via fax at 918-786-2664.

Location: 1503 Har-Ber Rd, Grove, OK, 74344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356454094
Provider Name
Phoenix Healthcare Llc
Credential
Provider Entity Type
Organization
Address
1503 Har-Ber Rd, Grove, OK, 74344
Phone Number
918-786-3223
Fax Number
918-786-2664
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200040930F 05 OK
institution
Provider Business Practice Location Address Details
Address
1503 Har-Ber Rd
City
Grove
State
Oklahoma
Zip
74344-3525
Phone Number
918-786-3223
Fax Number
918-786-2664
person
Provider Business Mailing Address Details
Address
1503 Har-Ber Rd
City
Grove
State
Oklahoma
Zip
74344-3525
Phone Number
918-786-3223
Fax Number
918-786-2664
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH2106-2106 (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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