Organization Name: | EDNA LEE'S, INC. |
NPI Number: | 1023346574 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDNA LEE KEATON (RC/AL ADMINISTOR) |
Mailing Address: | 421 W South Ave Vinita |
State: | OK US |
Postal Code: | 743014143 |
Phone Number: | 9182563131 |
Fax Number: | 9182568507 |
NPI Enumeration Date: | 11/20/2009 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | RC1806-1806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |