Provider Demographics
NPI:1831663780
Name:WARR ACRES OPERATING LLC
Entity Type:Organization
Organization Name:WARR ACRES OPERATING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PILGRIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-8166
Mailing Address - Street 1:3325 FRENCH PARK DR STE 6
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7265
Mailing Address - Country:US
Mailing Address - Phone:405-285-8166
Mailing Address - Fax:405-563-9447
Practice Address - Street 1:6501 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-6505
Practice Address - Country:US
Practice Address - Phone:405-721-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEP HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-14
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility