MEDICARE: SKYVIEW NURSING CENTER PARTNERSHIP

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	NH5539-5539	OK

General Provider Information

NPI Number	:	1952347833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKYVIEW NURSING CENTER PARTNERSHIP

Provider Business Mailing Address
First Line	:	3714 N PORTLAND AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2924
Country	:	US
Telephone Number	:	405-942-3884
Fax Number	:	405-946-2642

Provider Business Practice Location Address
First Line	:	2200 N COLTRANE RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73121-4623
Country	:	US
Telephone Number	:	405-427-1322
Fax Number	:	405-424-4357

Authorized Official
Title or Position	:	PARTNER
Name	:	MS. JUDY M CRANE
Credential	:
Telephone Number	:	405-942-3884

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/22/2020

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