Rose Manor, LLC

NPI #1144387259 in Shawnee, Oklahoma

Provider Information

NPI Number
1144387259
Entity Type
Organization
Organization Name
Rose Manor, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Jan 2, 2007
Last Updated
Feb 13, 2008

Practice Location

Address
1610 NORTH BRYAN
ZIP Code
74804-4229
Phone
(405) 275-9004

Authorized Official

Name
MRS. LINDA JEANNE PRAYTOR, RN
Title
OWNER
Phone
(405) 598-5613

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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