CCN: 676324 NPI: 1285064634 Organization

OAK MANOR NURSING HOME

1200 FERGUSON ST
NACOGDOCHES, TX 759614068

Contact Information

Phone 9365647359
Fax 9365646503
Enumeration Date 2013-11-21
Last Updated 2013-11-21

Taxonomies

Code: 314000000X (Primary) License State: TX

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

vbpAdjustment 0.9803449243

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 38

specialPaymentIndicator

carrierCode 04412

localityCode 99