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NPI Code Detail

MEDICARE: PARCWAY

MEDICARE: PARCWAY
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
13140N1450XPediatric Skilled Nursing Facility37V665010707OK

General Provider Information

NPI Number : 1265742092
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARCWAY
Provider Business Mailing Address
First Line : 6312 N PORTLAND AVE
Second Line :
City : OKC
State : OK
Zip : 73112
Country : US
Telephone Number : 405-946-6932
Fax Number :
Provider Business Practice Location Address
First Line : 6312 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-1463
Country : US
Telephone Number : 405-946-6932
Fax Number :
Authorized Official
Title or Position : CERTIFIED MEDICATION AIDE
Name : MR. CHIKAODI E KEKE
Credential :
Telephone Number : 405-946-6932
Provider Enumeration Date : 10/14/2010
Last Update Date : 10/14/2010

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Directions to “PARCWAY ” Practice Location

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