Rebold Manor L L C

LBN: Rebold Manor L L C
Rebold Manor L L C is an health care organization with primary practice located at 1701 E 6Th St , Okmulgee OK 74447-4807. 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. Rebold Manor L L C can be contacted via phone (918) 756-1967, or through Deroin, Kristy via phone (405) 943-1144.

Contact Information

Primary practice address
1701 E 6Th St Okmulgee OK 74447-4807
Phone: (918) 756-1967
Fax: (918) 756-4271
Website:
Map and Directions
Authorized official contact:
Name: Deroin, Kristy MBA
Phone: (405) 943-1144

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH5608-5608 Oklahoma

Profile Details

NPI number 1144326489
LBN Legal business name Rebold Manor L L C
DBA Doing business as
Authorized official Deroin, Kristy MBA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Oct 5th, 2020 - about 4 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 1144326489 NPPES
Oklahoma MEDICAID 200073640A

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