# LODGE AT BROOKLINE OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013704238
- **Authorized official:** DAVID GANZ (LLC MANAGER)
- **Authorized official phone:** (832) 422-8848

## Contact information

- **Practice address:** 5301 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3516
- **Practice address phone:** (832) 422-8848
- **Mailing address:** 5301 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3516
- **Mailing address phone:** (832) 422-8848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2025
- **Last updated:** 04/22/2025