FORTH WORTH MANOR INC is a nursing facility intermediate care facility in Sulphur, 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. FORTH WORTH MANOR INC NPI is 1891782298. The provider is registered as an organization entity type.
The provider Is Doing Business As Legacy Living Centers.
The provider's business location address is:
110 W MUSKOGEE AVE
SULPHUR, OK
ZIP 73086-810
Phone: (580) 622-6300
Fax: (580) 622-8344
The provider's authorized official is Janice Pita .
The authorized official title is Insurance/medicare and has the following contact phone number (580) 622-6300.
The enumeration date for this NPI number is 9/30/2005 and was last updated on 6/16/2008.