Wellformed AI

NPI 1194957514 · live from the CMS NPI Registry

Directions Of Change LLC

Skilled Nursing Facility in Sand Springs, OK. National Provider Identifier 1194957514, active.

NPI record

NPI1194957514 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location1025 N Adams Rd, Sand Springs, OK 74063
Practice phone918-245-5908
EnumeratedAugust 18, 2009
Last updatedAugust 18, 2009
Authorized officialPatty Eisenman, Owner/Administrator
Other namesOak Dale Manor

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000XNH7217-7217 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.