Bixby Manor, LLC

Organization Active NPI Skilled Nursing Facility · Bixby, OK

NPI 1659445377 · NPPES record last updated Jan 24, 2008

Key facts

NPI
1659445377
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
NH7203-7203 (OK)
Legal business name
BIXBY MANOR, LLC
Practice address
76 W Rachel St
Bixby, OK 74008-4908
Phone
(918) 366-4491
Fax
(918) 366-6220
NPI assigned
Nov 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Wayne Wood
Title
Owner
Phone
(918) 366-4492

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH7203-7203 OK Yes

Addresses

Primary practice location

76 W Rachel St
Bixby, OK 74008-4908

Mailing address

PO Box 670
Bixby, OK 74008-0670
Phone (918) 366-4492

Other names

  • Bixby Manor Doing business as

Other providers in Bixby, OK

All providers in Bixby, OK · Skilled Nursing Facility in Oklahoma

Sources for this page

Verify at the official NPI Registry.