NPI 1902054059 · live from the CMS NPI Registry
Bryant Healthcare LLC
Skilled Nursing Facility in Edmond, OK. National Provider Identifier 1902054059, active.
NPI record
| NPI | 1902054059 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1100 E 9th St, Edmond, OK 73034 |
| Practice phone | 405-341-5617 |
| Mailing address | 1380 S Douglas Blvd, Midwest City, OK 73130 |
| Enumerated | September 3, 2008 |
| Last updated | September 3, 2008 |
| Authorized official | Raj Narula, Direct Owner |
| Other names | Care Living Center Of Edmond |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.