Organization · Type 2 NPI

Forth Worth Manor Inc

Nursing Facility/Intermediate Care Facility · Sulphur, OK

NPI number 1891782298 Active

Practice location

110 W Muskogee Ave
Sulphur, OK 73086-4810

Fax (580) 622-8344

Mailing address

4900 E Berry St
Fort Worth, TX 76105-4314

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X113559 (TX)

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…

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About NPI 1891782298

Forth Worth Manor Inc's National Provider Identifier is 1891782298, issued on Sep 30, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Sulphur, OK. The record was last updated on Jun 16, 2008.