OrganizationActive
Grand Union Healthcare L.L.C,
NPI 1013016864 · Skilled Nursing Facility · Jay, OK
Provider details
- NPI number
- 1013016864
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Orrise Matheson, Administrator(918) 253-4500
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
226 East Monroe Street
Jay, OK 74346-0409
Phone: (918) 253-4500
Fax: (918) 253-6064
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 409
Jay, OK 74346-0409
Other names (DBA / former)
- Doing business as
- Monroe Manor
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2011-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.