Ignite Medical Resort Edmond LLC
NPI #1710845466 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1710845466
- Entity Type
- Organization
- Organization Name
- Ignite Medical Resort Edmond LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 12, 2026
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 1400 E MEMORIAL RD
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73131-1240
- Phone
- (405) 875-0040
Authorized Official
- Name
- TIMOTHY FIELDS
- Title
- CEO
- Phone
- (847) 453-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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