MEDICARE: BURFORD MANOR

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	NH5002-5002	OK

General Provider Information

NPI Number	:	1497748180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BURFORD MANOR

Provider Business Mailing Address
First Line	:	505 S 7TH ST
Second Line	:
City	:	DAVIS
State	:	OK
Zip	:	73030-3136
Country	:	US
Telephone Number	:	580-369-2369
Fax Number	:	580-369-2445

Provider Business Practice Location Address
First Line	:	505 S 7TH ST
Second Line	:
City	:	DAVIS
State	:	OK
Zip	:	73030-3136
Country	:	US
Telephone Number	:	580-369-2369
Fax Number	:	580-369-2445

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. KIMBERLY J BOWLES
Credential	:
Telephone Number	:	580-369-2369

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1437320876 — DAVIS HEALTH AND REHABILITATION, LLC
Practice Location Address:

505 S 7TH ST
DAVIS, OK
73030-3136

Practice Phone: 580-369-2653
Practice Fax: 580-369-2445

1891782884 — JANET MEINDERS CHARALAMPOUS R.D., L.D.10
Practice Location Address:

HC 67 BOX 1
DAVIS, OK
73030-9501

Practice Phone: 580-369-3636
Practice Fax: 580-369-3366

1538157102 — ROBERT RAYMOND HORANZY M.D.
Practice Location Address:

107 S 3RD ST
DAVIS, OK
73030-2305

Practice Phone: 580-369-2803
Practice Fax:

1164430336 — DR. JAMES PLESANT RHODES II D.C
Practice Location Address:

502 E. MAIN ST
DAVIS, OK
73030-1775

Practice Phone: 580-369-3600
Practice Fax: 580-369-3728

1083625628 — SOONER PHARMACY OF DAVIS INC
Practice Location Address:

705 E MAIN ST
DAVIS, OK
73030-1913

Practice Phone: 580-369-3776
Practice Fax: 580-369-2115

1619980265 — DR. HEIDI BROOKE WRIGHT PHARM.D
Practice Location Address:

218 E MAIN ST
DAVIS, OK
73030-1904

Practice Phone: 580-369-2831
Practice Fax: 580-369-2614

Directions to “BURFORD MANOR ” Practice Location

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