Cedar Crest Manor Inc

LBN: Cedar Crest Manor Inc
Cedar Crest Manor Inc is an health care organization with primary practice located at 1700 Nw Fort Sill Blvd , Lawton OK 73507-4064. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Cedar Crest Manor Inc can be contacted via phone (580) 355-1616, or through Aldridge, Tarri via phone (580) 355-1616.

Contact Information

Primary practice address
1700 Nw Fort Sill Blvd Lawton OK 73507-4064
Phone: (580) 355-1616
Fax: (580) 355-2814
Website:
Map and Directions
Authorized official contact:
Name: Aldridge, Tarri
Phone: (580) 355-1616

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH1602-1602 Oklahoma

Profile Details

NPI number 1689745291
LBN Legal business name Cedar Crest Manor Inc
DBA Doing business as
Authorized official Aldridge, Tarri
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689745291 NPPES
Oklahoma MEDICAID 100773120A
Oklahoma Other 37E548

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