Monroe Manor

LBN: Grand Union Healthcare L.L.C,
Monroe Manor is an health care organization with primary practice located at 226 East Monroe Street , Jay OK 74346-0409. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Grand Union Healthcare L.L.C, can be contacted via phone (918) 253-4500, or through Matheson, Orrise via phone (918) 253-4500.

Contact Information

Primary practice address
226 East Monroe Street Jay OK 74346-0409
Phone: (918) 253-4500
Fax: (918) 253-6064
Website:
Map and Directions
Authorized official contact:
Name: Matheson, Orrise
Phone: (918) 253-4500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1013016864
LBN Legal business name Grand Union Healthcare L.L.C,
DBA Doing business as Monroe Manor
Authorized official Matheson, Orrise
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 22nd, 2011 - 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 1013016864 NPPES
Oklahoma MEDICAID 100778240A

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