Home » Oklahoma » 74339 » Eastwood Manor, Llc

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.

physician-icon Basic Information

Practice Location 519 N Mickey Mantle Blvd, Commerce, OK 74339-1127, US
Practice Location Phone918-675-4455
Practice Location Fax918-675-5472
Legal Business NameEASTWOOD MANOR, LLC
NPI ?1417058470
Entity TypeOrganization
Enumeration Date ? Sep 25, 2006
Last Update Date ? Jul 16, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Eastwood Manor, Llc

SpecialtySpecializationLicenseLicense State
Nursing Facility/Intermediate Care Facility NH5802-5802Oklahoma

legacy-id-icon Legacy Provider IDs of Eastwood Manor, Llc

Provider IdIssuer StateIssuer TypeIssuer
200081000AOklahomaMedicaid

official-icon 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/PositionBUSINESS MANAGEMENT
Authorized Official Phone Number918-775-4439