COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC is a point of service in Kingfisher, OK. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. COUNTRYWOOD ASSISTED LIVING & MEMORY CARE, LLC NPI is 1306041272. The provider is registered as an organization entity type.
The provider's business location address is:
1604 S 13TH ST
KINGFISHER, OK
ZIP 73750-619
Phone: (405) 375-5232
Fax: (405) 375-5830
The provider's authorized official is John Holtz .
The authorized official title is Controller and has the following contact phone number (541) 747-3373.
The CLIA number assigned to this NPI record is 37D2196204 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/19/2007 and was last updated on 5/13/2008.