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NPI Code Detail

MEDICARE: EDWARDS REDEEMER HEALTHCARE & REHAB

MEDICARE: EDWARDS REDEEMER HEALTHCARE & 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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1679900971
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARDS REDEEMER HEALTHCARE & REHAB
Provider Business Mailing Address
First Line : 1530 NE GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-5212
Country : US
Telephone Number : 405-424-2273
Fax Number : 405-424-2070
Provider Business Practice Location Address
First Line : 1530 NE GRAND BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-5212
Country : US
Telephone Number : 405-424-2273
Fax Number : 405-424-2070
Authorized Official
Title or Position : MEMBER
Name : DEBORAH J JONES
Credential :
Telephone Number : 423-877-2024
Provider Enumeration Date : 10/01/2013
Last Update Date : 01/06/2014

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Directions to “EDWARDS REDEEMER HEALTHCARE & REHAB ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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