Provider Demographics
NPI:1669461943
Name:MANNFORD HEALTHCARE
Entity Type:Organization
Organization Name:MANNFORD HEALTHCARE
Other - Org Name:CIMARRON POINTE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-865-7701
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:MANNFORD
Mailing Address - State:OK
Mailing Address - Zip Code:74044-1300
Mailing Address - Country:US
Mailing Address - Phone:918-865-7701
Mailing Address - Fax:918-865-7792
Practice Address - Street 1:404 E. CIMARRON
Practice Address - Street 2:
Practice Address - City:MANNFORD
Practice Address - State:OK
Practice Address - Zip Code:74044-1300
Practice Address - Country:US
Practice Address - Phone:918-865-7701
Practice Address - Fax:918-865-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKNH1907-1907313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility