Lakeland Manor INC

NPI #1578655817 in Ardmore, Oklahoma

Provider Information

NPI Number
1578655817
Entity Type
Organization
Organization Name
Lakeland Manor INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 28, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
604 LAKE MURRAY DR E
ZIP Code
73401-3851
Phone
(580) 223-4501

Authorized Official

Name
DR. GARY PORTER, PH.D., J.D., D.PH.
Title
PRESIDENT CEO
Phone
(580) 490-9200

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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