- Enrollment id
- O20150303000866
- Enrollment state
- OK
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1841694817
- Multiple npi flag
- N
- Ccn
- 375448
- Associate id
- 8426374869
- Organization name
- EL RENO HEALTH CARE, LLC
- Doing business as name
- EL RENO POST-ACUTE REHABILITATION CENTER
- Incorporation date
- 2013-10-18
- Incorporation state
- OK
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- EL RENO POST-ACUTE REHABILITATION CENTER
- Address line 1
- 2100 TOWNSEND DR
- City
- EL RENO
- State
- OK
- Zip code
- 730362116