MEDICARE: ST. ANN'S HOME

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	NH55295529	OK

General Provider Information

NPI Number	:	1871610709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. ANN'S HOME

Provider Business Mailing Address
First Line	:	9400 SAINT ANN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6400
Country	:	US
Telephone Number	:	405-728-7888
Fax Number	:	405-728-1302

Provider Business Practice Location Address
First Line	:	9400 SAINT ANN DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73162-6400
Country	:	US
Telephone Number	:	405-728-7888
Fax Number	:	405-728-1302

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. DOROTHY MARIE JOYCE
Credential	:
Telephone Number	:	405-728-7888

Provider Enumeration Date	:	03/24/2007
Last Update Date	:	08/22/2020

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Directions to “ST. ANN'S HOME ” Practice Location

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