Healthcare Provider Details
I. General information
NPI: 1497912083
Provider Name (Legal Business Name): NORMAN VETERANS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1776 E ROBINSON ST
NORMAN OK
73071-7442
US
IV. Provider business mailing address
1776 E ROBINSON ST
NORMAN OK
73071-7442
US
V. Phone/Fax
- Phone: 405-360-5600
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
JANETTE
CARVER
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 405-360-5600