Ltac Hospital of Edmond, LLC

NPI #1093016818 in Oklahoma City, Oklahoma

Provider Information

NPI Number
1093016818
Entity Type
Organization
Organization Name
Ltac Hospital of Edmond, LLC
Primary Specialty
Long Term Care Hospital
Enumeration Date
Nov 10, 2010
Last Updated
Jan 23, 2019

Practice Location

Address
4300 W MEMORIAL RD FL 2
ZIP Code
73120-8304
Phone
(405) 936-5822

Authorized Official

Name
MR. TIMOTHY W. HOWARD
Title
PRESIDENT
Phone
(337) 269-9566

Specialties & Taxonomy Codes

Specialty
Long Term Care Hospital

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