# UNIVERSITY VILLAGE HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1417947805
- **Authorized official:** MS. VANESSA ILENE NEAL NHA (COO)
- **Authorized official phone:** (918) 298-3652

## Contact information

- **Practice address:** 8555 S LEWIS AVE, TULSA, OK 74137-1218
- **Practice address phone:** (918) 298-3321
- **Practice address fax:** (918) 298-3691
- **Mailing address:** 8555 S LEWIS AVE, TULSA, OK 74137-1218
- **Mailing address phone:** (918) 298-3321
- **Mailing address fax:** (918) 298-3691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7231 | OK | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 12/04/2008