Legacy Living Centers

LBN: Mcalester Manor Inc
Legacy Living Centers is an health care organization with primary practice located at 615 E Morris Ave , Mcalester OK 74501-3159. 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. Mcalester Manor Inc can be contacted via phone (918) 426-4010, or through Pita, Janice via phone (580) 622-6300.

Contact Information

Primary practice address
615 E Morris Ave Mcalester OK 74501-3159
Phone: (918) 426-4010
Fax: (918) 426-4820
Website:
Map and Directions
Authorized official contact:
Name: Pita, Janice
Phone: (580) 622-6300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH6107-6107 Oklahoma

Profile Details

NPI number 1811984891
LBN Legal business name Mcalester Manor Inc
DBA Doing business as Legacy Living Centers
Authorized official Pita, Janice
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated May 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811984891 NPPES
Oklahoma Other 000375487001 BLUE CROSS BLUE SHIELD
Oklahoma MEDICAID 200059450A BLUE CROSS BLUE SHIELD

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