{
"Npi": {
"NPI": "1528057312",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "S,L,W&J, INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 1223",
"SecondLineMailingAddress": "112 S. MAGNOLIA",
"MailingAddressCityName": "ERICK",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73645-1223",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-526-3088",
"MailingAddressFaxNumber": "580-526-3747",
"FirstLinePracticeLocationAddress": "112 S. MAGNOLIA AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ERICK",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73645",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-526-3088",
"PracticeLocationAddressFaxNumber": "580-526-3747",
"EnumerationDate": "10/14/2005",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "LEANN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "580-526-3088",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "313M00000X",
"TaxonomyName": "Nursing Facility/Intermediate Care Facility",
"LicenseNumber": "NH0501-0501",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}