NPI 1184059982 · live from the CMS NPI Registry
Autumn Wood Opco, LLC
Skilled Nursing Facility in Claremore, OK. National Provider Identifier 1184059982, active.
NPI record
| NPI | 1184059982 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2700 N Hickory St, Claremore, OK 74017 |
| Practice phone | 918-283-4949 |
| Enumerated | September 11, 2013 |
| Last updated | July 21, 2022 |
| Authorized official | Theresa Mere, Associate |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | NH6609 (OK) |
| Skilled Nursing Facility primary | 314000000X | 375553 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.