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Hennessey Manor Nursing Home Inc
Nursing Facility/Intermediate Care Facility in Hennessey, Oklahoma
NPI 1427046796

Hennessey Manor Nursing Home Inc is a Nursing Facility/Intermediate Care Facility based in Hennessey, OK. Hennessey Manor Nursing Home Inc practices in Hennessey, OK. The NPI Number for Hennessey Manor Nursing Home Inc is 1427046796 and holds a License No. NH3703-3703 (Oklahoma).

The current practice location address for Hennessey Manor Nursing Home Inc is 705 E 3Rd St, Hennessey, OK and can be reached out via phone at 405-853-6027 and via fax at 405-853-4389.

Location: 705 E 3Rd St, Hennessey, OK, 73742-1620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427046796
Provider Name
Hennessey Manor Nursing Home Inc
Credential
Provider Entity Type
Organization
Address
705 E 3Rd St, Hennessey, OK, 73742-1620
Phone Number
405-853-6027
Fax Number
405-853-4389
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731473404001 01 OK BLUE CROSS BLUE SHIELD OK
200059260A 05 OK
institution
Provider Business Practice Location Address Details
Address
705 E 3Rd St
City
Hennessey
State
Oklahoma
Zip
73742-1620
Phone Number
405-853-6027
Fax Number
405-853-4389
person
Provider Business Mailing Address Details
Address
705 E 3Rd St
City
Hennessey
State
Oklahoma
Zip
73742-1620
Phone Number
405-853-6027
Fax Number
405-853-4389
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH3703-3703 (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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