Wellformed AI

NPI 1396291365 · live from the CMS NPI Registry

24th Place LLC

Skilled Nursing Facility in Norman, OK. National Provider Identifier 1396291365, active.

NPI record

NPI1396291365 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location600 24th Ave Sw, Norman, OK 73069
Practice phone405-747-6154
Mailing address131 N Broadway Ave, Ada, OK 74820
EnumeratedAugust 30, 2016
Last updatedJanuary 20, 2022
Authorized officialBart Reed, Manager

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000XNH1409-1409 (OK)

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