Dr W F and Mada Dunaway Manor Nursing Home of Guymon Inc
Organization Active NPI Skilled Nursing Facility · Guymon, OK
NPI 1043379357 · NPPES record last updated Oct 22, 2013
Key facts
- NPI
- 1043379357
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- DR W F AND MADA DUNAWAY MANOR NURSING HOME OF GUYMON INC
- Practice address
- 1401 N. Lelia
Guymon, OK 73942 - Phone
- (580) 338-3186
- Fax
- (580) 338-8688
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Dianne Dardeu Roberts
- Title
- Board President
- Phone
- (580) 338-8792
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH7001 | OK | |
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
1401 N. Lelia
Guymon, OK 73942
Mailing address
1401 N. Lelia
P.O. Box 831
Guymon, OK 73942
Phone (580) 338-3186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100775090A | Medicaid | OK |
Other names
- Heritage Community
Other providers in Guymon, OK
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- Ginger Denise Dahl
- Annette De Santiago
- Davida Danielle Deleon
- Baolong DO
- Carah Jean Dupper
- Amy Duren
- Eaglemed, LLC
- Jason Wayne Eidson
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All providers in Guymon, OK · Skilled Nursing Facility in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.