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NPI 1609874528 · live from the CMS NPI Registry

Ambassador Manor Nursing Center L.L.C.

Skilled Nursing Facility in Tulsa, OK. National Provider Identifier 1609874528, active.

NPI record

NPI1609874528 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location1340 E 61st St, Tulsa, OK 74136
Practice phone918-743-8978
EnumeratedJuly 13, 2005
Last updatedSeptember 8, 2008
Authorized officialBeverly Latimer, Cfo

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000XNH72017201 (OK)

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