# LEISURE VILLAGE HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Leisure Village Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083028856
- **Authorized official:** JUDAH BIENSTOCK (MANAGING MEMBER)
- **Authorized official phone:** (314) 631-3000

## Contact information

- **Practice address:** 2154 S 85TH EAST AVE, TULSA, OK 74129-3012
- **Practice address phone:** (918) 622-4747
- **Practice address fax:** (918) 622-0304
- **Mailing address:** 2154 S 85TH EAST AVE, TULSA, OK 74129-3012
- **Mailing address phone:** (918) 622-4747
- **Mailing address fax:** (918) 622-0304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7216 | OK | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 12/02/2015