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RELIANT LIVING CENTERS OF OKLAHOMA INC NPI 1558408609


NPI Information

NPI: 1558408609
Provider Name: RELIANT LIVING CENTERS OF OKLAHOMA, INC

Doing Business As: MANSFIELD MANOR

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 37D0893747

Address:
3317 SE 18TH ST
DEL CITY, OK
ZIP 73115
Phone: (405) 677-2421
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RELIANT LIVING CENTERS OF OKLAHOMA, INC is a nursing facility intermediate care facility in Del City, OK. The provider is 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. RELIANT LIVING CENTERS OF OKLAHOMA, INC NPI is 1558408609. The provider is registered as an organization entity type.
The provider Is Doing Business As Mansfield Manor.

The provider's business location address is:

3317 SE 18TH ST
DEL CITY, OK
ZIP 73115-413
Phone: (405) 677-2421
Fax: (405) 677-2497

The provider's authorized official is Bill J Florence .
The authorized official title is Administrator and has the following contact phone number (405) 677-2421.

The CLIA number assigned to this NPI record is 37D0893747 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care FacilityNH5557OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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