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Organization
WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C.
Active
Organization
WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RUCKER (ADMINISTRATOR)
(918) 743-7838
Entity
Organization
Contact information
Practice address
5707 S MEMORIAL DR, TULSA, OK 74145-9004
(918) 743-7838
Mailing address
5707 S MEMORIAL DR, TULSA, OK 74145-9004
(918) 743-7838
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH7232-7232
OK
Other
Enumeration date
07/19/2007
Last updated
08/07/2007
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