Bedlam Properties, LLC
Organization Active NPI Nursing Facility/Intermediate Care Facility · Blackwell, OK
NPI 1952390163 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1952390163
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- NH36013601 (OK)
- Legal business name
- BEDLAM PROPERTIES, LLC
- Practice address
- 1315 S 11TH St
Blackwell, OK 74631-4613 - Phone
- (580) 363-1624
- Fax
- (580) 363-3977
- NPI assigned
- Oct 19, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeffrey W Young
- Title
- Member/Manager
- Phone
- (918) 622-4799
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Bedlam Properties LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH36013601 | OK | Yes |
Addresses
Primary practice location
1315 S 11TH St
Blackwell, OK 74631-4613
Mailing address
4500 S Garnett Rd
Suite 610
Tulsa, OK 74146-5229
Phone (918) 622-4799
Other names
- Blackwell Nursing Home
Other providers in Blackwell, OK
- Marya Allen
- Sarin Irene Anderson
- Arise Above Counseling Services LLC
- Bedlam Properties, LLC
- Clark Bishop
- Blackwell Dentistry
- Blackwell Family Chiropractic Inc PC
- Blackwell Family Medicine LLC
- Blackwell Feet Plus, L.L.C.
All providers in Blackwell, OK · Nursing Facility/Intermediate Care 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 Aug 22, 2020. 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.