NPI 1124326434 · live from the CMS NPI Registry
Conhold Of Ponca LLC
Skilled Nursing Facility in Ponca City, OK. National Provider Identifier 1124326434, active.
NPI record
| NPI | 1124326434 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2024 Turner St, Ponca City, OK 74604 |
| Practice phone | 580-765-3364 |
| Enumerated | March 10, 2011 |
| Last updated | March 21, 2011 |
| Authorized official | James Sullivan, Owner |
| Other names | Shawn Manor Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH3607-3607 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.