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Cedar Crest Manor Inc
Nursing Facility/Intermediate Care Facility in Lawton, Oklahoma
NPI 1689745291

Cedar Crest Manor Inc is a Nursing Facility/Intermediate Care Facility based in Lawton, OK. Cedar Crest Manor Inc practices in Lawton, OK. The NPI Number for Cedar Crest Manor Inc is 1689745291 and holds a License No. NH1602-1602 (Oklahoma).

The current practice location address for Cedar Crest Manor Inc is 1700 Nw Fort Sill Blvd, Lawton, OK and can be reached out via phone at 580-355-1616 and via fax at 580-355-2814. You can also correspond with Cedar Crest Manor Inc through the mailing address at 1700 NW FORT SILL BLVD, LAWTON, OK - 73507-4064 (mailing address contact number: 580-355-1616).

Location: 1700 Nw Fort Sill Blvd, Lawton, OK, 73507-4064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689745291
Provider Name
Cedar Crest Manor Inc
Credential
Provider Entity Type
Organization
Address
1700 Nw Fort Sill Blvd, Lawton, OK, 73507-4064
Phone Number
580-355-1616
Fax Number
580-355-2814
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100773120A 05 OK
37E548 01 OK FEDERAL ID NUMBER
institution
Provider Business Practice Location Address Details
Address
1700 Nw Fort Sill Blvd
City
Lawton
State
Oklahoma
Zip
73507-4064
Phone Number
580-355-1616
Fax Number
580-355-2814
person
Provider Business Mailing Address Details
Address
1700 Nw Fort Sill Blvd
City
Lawton
State
Oklahoma
Zip
73507-4064
Phone Number
580-355-1616
Fax Number
580-355-2814
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH1602-1602 (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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