Countrywood Assisted Living & Memory Care, Llc

LBN: Countrywood Assisted Living & Memory Care, Llc
Countrywood Assisted Living & Memory Care, Llc is an health care organization with primary practice located at 1604 S 13Th St , Kingfisher OK 73750-4619. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Countrywood Assisted Living & Memory Care, Llc can be contacted via phone (405) 375-5232, or through Holtz, John via phone (541) 747-3373.

Contact Information

Primary practice address
1604 S 13Th St Kingfisher OK 73750-4619
Fax: (405) 375-5830
Website:
Authorized official contact:
Name: Holtz, John

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1306041272
LBN Legal business name Countrywood Assisted Living & Memory Care, Llc
DBA Doing business as
Authorized official Holtz, John
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2007
Last updated May 13th, 2008 - about 16 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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