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Organization
SANTA FE PLACE LLC
Active
Organization
SANTA FE PLACE LLC
Active
Other names
Santa Fe Tucson House
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FORREST WHITE (MANAGING MEMBER)
(405) 634-8888
Entity
Organization
Contact information
Practice address
1000 S SANTA FE, BUILDING C, MOORE, OK 73160-2469
(405) 793-1643
(405) 793-1675
Mailing address
1000 S SANTA FE, BUILDING C, MOORE, OK 73160-2469
(405) 793-1643
(405) 793-1675
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH1419
OK
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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