Healthcare Provider Details

I. General information

NPI: 1316952153
Provider Name (Legal Business Name): AYERS NURSING HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 B ST
SNYDER OK
73566-2023
US

IV. Provider business mailing address

PO BOX 100
SNYDER OK
73566-0100
US

V. Phone/Fax

Practice location:
  • Phone: 580-569-2258
  • Fax: 580-569-2448
Mailing address:
  • Phone: 580-569-2258
  • Fax: 580-569-2448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberNH38013801
License Number StateOK

VIII. Authorized Official

Name: MRS. BECKY J GREEN
Title or Position: ADM
Credential:
Phone: 580-569-2258