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37D0471655 CLIA NUMBER - EPWORTH VILLA HEALTH SERVICES

Laboratory Demographics

CLIA Number: 37D0471655

Facility Name: EPWORTH VILLA HEALTH SERVICES

Facility Address:
14901 N PENNSYLVANIA
OKLAHOMA CITY, OK
ZIP 73134
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Facility Phone Number: 405 486-1356

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1114922598

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 37D0471655
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EPWORTH VILLA HEALTH SERVICES
Street 14901 N PENNSYLVANIA
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 486-1356
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024