Eastwood Manor, Llc
Eastwood Manor, Llc is a health care provider in Sallisaw, OK. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 519 N Mickey Mantle Blvd, Commerce, OK 74339-1127, US |
|Practice Location Phone||918-675-4455|
|Practice Location Fax||918-675-5472|
|Legal Business Name||EASTWOOD MANOR, LLC|
|Enumeration Date ? ||Sep 25, 2006|
|Last Update Date ? ||Jul 16, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Eastwood Manor, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Nursing Facility/Intermediate Care Facility||Nursing & Custodial Care Facilities|| ||NH5802-5802||Oklahoma|
Legacy Provider IDs of Eastwood Manor, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Eastwood Manor, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Eastwood Manor, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Kevin Douglas Moran|
|Authorized Official Title/Position||BUSINESS MANAGEMENT|
|Authorized Official Phone Number||918-775-4439|