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Organization
SOUTH PARK HEALTH CARE LLC
Active
Organization
SOUTH PARK HEALTH CARE LLC
Active
Other names
South Pointe Rehab and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 812-2550
Entity
Organization
Contact information
Practice address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-0232
(405) 685-0232
Mailing address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-4791
(405) 685-0232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/02/2015
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