Mooreland Heritage Manor

LBN: Lightning Creek Investment Group Inc
Mooreland Heritage Manor is an health care organization with primary practice located at 402 Se 6Th St , Mooreland OK 73852-9064. 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. Lightning Creek Investment Group Inc can be contacted via phone (918) 273-3649, or through Maddux, Douglas G. via phone (918) 273-3649.

Contact Information

Primary practice address
402 Se 6Th St Mooreland OK 73852-9064
Phone: (918) 273-3649
Fax: (918) 273-5652
Website:
Map and Directions
Authorized official contact:
Name: Maddux, Douglas G.
Phone: (918) 273-3649

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH7702-7702 Oklahoma

Profile Details

NPI number 1346385689
LBN Legal business name Lightning Creek Investment Group Inc
DBA Doing business as Mooreland Heritage Manor
Authorized official Maddux, Douglas G.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 20th, 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 1346385689 NPPES
Oklahoma MEDICAID 100776120B

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