NPI 1659445377 · live from the CMS NPI Registry
Bixby Manor, LLC
Skilled Nursing Facility in Bixby, OK. National Provider Identifier 1659445377, active.
NPI record
| NPI | 1659445377 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 76 W Rachel St, Bixby, OK 74008 |
| Practice phone | 918-366-4491 |
| Mailing address | Po Box 670, Bixby, OK 74008 |
| Enumerated | November 17, 2006 |
| Last updated | January 24, 2008 |
| Authorized official | Wayne Wood, Owner |
| Other names | Bixby Manor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH7203-7203 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.