Active NPIOrganization

Angelwood Assisted Living & Memory Care, LLC

Point of Service in Clinton, Oklahoma

NPI Number1770788630
Practice location
3200 Hayes Ave, Clinton, OK 73601-3514
Fax
580-323-0999
Last updated
May 13, 2008

Angelwood Assisted Living & Memory Care, LLC is a healthcare organization based in Clinton, OK. The NPI number for Angelwood Assisted Living & Memory Care, LLC is 1770788630. The current practice location address is 3200 Hayes Ave, Clinton, OK 73601-3514 and the office can be reached by phone at 580-323-0990 and by fax at 580-323-0999. The NPI was assigned on June 19, 2007 and the record was last updated in NPPES on May 13, 2008.

●Provider Profile Details

NPI Number
1770788630
Provider Name
Angelwood Assisted Living & Memory Care, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. John Holtz · Controller · 541-747-3373
Enumeration Date
June 19, 2007
Last Update Date
May 13, 2008
NPI Status
Active

◉Business Practice Location Address

Address
3200 Hayes Ave
Clinton, OK 73601-3514
ZIP
73601-3514
Country
US
Phone Number
580-323-0990
Fax Number
580-323-0999

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✉Business Mailing Address

Address
78 Centennial Loop
Eugene, OR 97401-7900
City
Eugene
State
OR
ZIP
97401-7900
Phone Number
541-747-3373
Fax Number
541-747-0673

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Point of Service305S00000XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Angelwood Assisted Living & Memory Care, LLC?

The NPI number of Angelwood Assisted Living & Memory Care, LLC is 1770788630. It was assigned on June 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Angelwood Assisted Living & Memory Care, LLC?

Angelwood Assisted Living & Memory Care, LLC is registered under the primary taxonomy Point of Service (code 305S00000X).

Where does Angelwood Assisted Living & Memory Care, LLC practice?

The practice location is 3200 Hayes Ave, Clinton, OK 73601-3514. The office can be reached at 580-323-0990 (phone) or 580-323-0999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770788630 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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