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Eastwood Manor, Llc
Nursing Facility/Intermediate Care Facility in Commerce, Oklahoma
NPI 1417058470

Eastwood Manor, Llc is a Nursing Facility/Intermediate Care Facility based in Sallisaw, OK. Eastwood Manor, Llc practices in Commerce, OK. The NPI Number for Eastwood Manor, Llc is 1417058470 and holds a License No. NH5802-5802 (Oklahoma).

The current practice location address for Eastwood Manor, Llc is 519 N Mickey Mantle Blvd, Commerce, OK and can be reached out via phone at 918-675-4455 and via fax at 918-675-5472.

Location: 519 N Mickey Mantle Blvd, Commerce, OK, 74955-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417058470
Provider Name
Eastwood Manor, Llc
Credential
Provider Entity Type
Organization
Address
519 N Mickey Mantle Blvd, Commerce, OK, 74955-0429
Phone Number
918-675-4455
Fax Number
918-675-5472
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200081000A 05 OK
institution
Provider Business Practice Location Address Details
Address
519 N Mickey Mantle Blvd
City
Commerce
State
Oklahoma
Zip
74339-1127
Phone Number
918-675-4455
Fax Number
918-675-5472
person
Provider Business Mailing Address Details
Address
519 N Mickey Mantle Blvd
City
Commerce
State
Oklahoma
Zip
74339-1127
Phone Number
918-675-4455
Fax Number
918-675-5472
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH5802-5802 (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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