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Moore Nursing Home Inc
Nursing Facility/Intermediate Care Facility in Moore, Oklahoma
NPI 1700873791

Moore Nursing Home Inc is a Nursing Facility/Intermediate Care Facility based in Moore, OK. Moore Nursing Home Inc practices in Moore, OK. The NPI Number for Moore Nursing Home Inc is 1700873791 and holds a License No. NH1408-1408 (Oklahoma).

The current practice location address for Moore Nursing Home Inc is 320 N Eastern Ave, Moore, OK and can be reached out via phone at 405-794-0224 and via fax at 405-794-6287.

Location: 320 N Eastern Ave, Moore, OK, 73160-6920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700873791
Provider Name
Moore Nursing Home Inc
Credential
Provider Entity Type
Organization
Address
320 N Eastern Ave, Moore, OK, 73160-6920
Phone Number
405-794-0224
Fax Number
405-794-6287
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200011250A 05 OK
000375441001 01 OK BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
320 N Eastern Ave
City
Moore
State
Oklahoma
Zip
73160-6920
Phone Number
405-794-0224
Fax Number
405-794-6287
person
Provider Business Mailing Address Details
Address
320 N Eastern Ave
City
Moore
State
Oklahoma
Zip
73160-6920
Phone Number
405-794-0224
Fax Number
405-794-6287
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH1408-1408 (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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