3C Old Fashion Boarding Home

LBN: 3C Old Fashion Boarding Home
3C Old Fashion Boarding Home is an health care organization with primary practice located at 719 S Jim Thorpe Blvd Nbu 1706, Prague OK 74864-3505. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. 3C Old Fashion Boarding Home can be contacted via phone (405) 567-2280, or through Cook, Jvon via phone (405) 567-7677.

Contact Information

Primary practice address
719 S Jim Thorpe Blvd Nbu 1706 Prague OK 74864-3505
Phone: (405) 567-2280
Fax: (405) 567-2280
Website:
Map and Directions
Authorized official contact:
Name: Cook, Jvon
Phone: (405) 567-7677

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X Oklahoma

Profile Details

NPI number 1124359047
LBN Legal business name 3C Old Fashion Boarding Home
DBA Doing business as 3C Old Fashion Boarding Home
Authorized official Cook, Jvon
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2010
Last updated Jan 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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