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Contact Information

PARKLAND MANOR LIVING CENTER LLC
200 W PARKLAND NBU 7407
PRAGUE, OK74864
 Phone: 405-567-2201
 Fax: 405-567-2395
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for PARKLAND MANOR LIVING CENTER LLC

NPI Number 1164422416
LBN Legal business name PARKLAND MANOR LIVING CENTER LLC
Authorized official JULIE JUSTICE - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2005
Last updated 08/14/2014 - About 12 years ago
Identifiers
OK License # NH4103
OK Medicaid 100770310A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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