Heavener Manor, Llc

LBN: Heavener Manor, Llc
Heavener Manor, Llc is an health care organization with primary practice located at 204 W 1St St , Heavener OK 74937-2062. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Heavener Manor, Llc can be contacted via phone (918) 653-2034, or through Montgomery, Bradford via phone (479) 250-5558.

Contact Information

Primary practice address
204 W 1St St Heavener OK 74937-2062
Phone: (918) 653-2034
Fax: (918) 653-4518
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Bradford
Phone: (479) 250-5558

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH4001-4001 Oklahoma

Profile Details

NPI number 1174941496
LBN Legal business name Heavener Manor, Llc
DBA Doing business as
Authorized official Montgomery, Bradford
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2014
Last updated Jun 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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