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Corn Heritage Village Of Corn Inc
Nursing Facility/Intermediate Care Facility in Corn, Oklahoma
NPI 1396973210

Corn Heritage Village Of Corn Inc is a Nursing Facility/Intermediate Care Facility based in Corn, OK. Corn Heritage Village Of Corn Inc practices in Corn, OK. The NPI Number for Corn Heritage Village Of Corn Inc is 1396973210 and holds a License No. NH7502-7502 (Oklahoma).

The current practice location address for Corn Heritage Village Of Corn Inc is 106 W Adams Street, Corn, OK and can be reached out via phone at 580-343-2295 and via fax at 580-343-2297.

Location: 106 W Adams Street, Corn, OK, 73024-0098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396973210
Provider Name
Corn Heritage Village Of Corn Inc
Credential
Provider Entity Type
Organization
Address
106 W Adams Street, Corn, OK, 73024-0098
Phone Number
580-343-2295
Fax Number
580-343-2297
Provider Enumeration Date
06/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200265350A 05 OK
institution
Provider Business Practice Location Address Details
Address
106 W Adams Street
City
Corn
State
Oklahoma
Zip
73024
Phone Number
580-343-2295
Fax Number
580-343-2297
person
Provider Business Mailing Address Details
Address
106 W Adams Street
City
Corn
State
Oklahoma
Zip
73024
Phone Number
580-343-2295
Fax Number
580-343-2297
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH7502-7502 (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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