Organization Name: | EDMOND MEMORY CARE, LLC |
NPI Number: | 1871908913 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER RIO (VP OF MANAGEMENT-SENIOR LIVING) |
Mailing Address: | 1001 S Bryant Ave Edmond |
State: | OK US |
Postal Code: | 730345745 |
Phone Number: | 4053411450 |
Fax Number: | 4053411451 |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | AL5598-5598 |
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. |