Organization · Type 2 NPI

Shawn Manor Nursing Home

Nursing Facility/Intermediate Care Facility · Ponca City, OK

NPI number 1164461570 Active

Practice location

2024 Turner Road
Ponca City, OK 74604-2732

Fax (580) 765-3376

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNH3607-3607 (OK)

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 conditi…

About NPI 1164461570

Shawn Manor Nursing Home's National Provider Identifier is 1164461570, issued on Jun 5, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Ponca City, OK. The record was last updated on Feb 13, 2008.