Eastwood Manor, LLC

NPI #1417058470 in Commerce, Oklahoma

Provider Information

NPI Number
1417058470
Entity Type
Organization
Organization Name
Eastwood Manor, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Sep 25, 2006
Last Updated
Jul 16, 2008

Practice Location

Address
519 N MICKEY MANTLE BLVD
ZIP Code
74339-1127
Phone
(918) 675-4455

Authorized Official

Name
MR. KEVIN DOUGLAS MORAN
Title
BUSINESS MANAGEMENT
Phone
(918) 775-4439

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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