MEDICARE: NEO HEALTH CARE INC., DBA OSBORNE CARE & REHAB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	NH5804-5804	OK

General Provider Information

NPI Number	:	1154316867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEO HEALTH CARE INC., DBA OSBORNE CARE & REHAB

Provider Business Mailing Address
First Line	:	2530 N ELM ST
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-1444
Country	:	US
Telephone Number	:	918-540-2300
Fax Number	:	918-540-2525

Provider Business Practice Location Address
First Line	:	2530 N ELM ST
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-1444
Country	:	US
Telephone Number	:	918-540-2300
Fax Number	:	918-540-2525

Authorized Official
Title or Position	:	DON
Name	:	MRS. YVONNE DIANNE PANTER
Credential	:	RN
Telephone Number	:	918-540-2300

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	08/27/2007

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