NPI 1508070830 · live from the CMS NPI Registry
Edna Lee'S Residential Care
Skilled Nursing Facility in Vinita, OK. National Provider Identifier 1508070830, active.
NPI record
| NPI | 1508070830 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 421 W South Ave, Vinita, OK 74301 |
| Practice phone | 918-256-3131 |
| Enumerated | May 9, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Donna Kelley, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | RC1806-1806 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.