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Organization
76TH STREET LAND LLC
Active
Organization
76TH STREET LAND LLC
Active
Other names
THE COTTAGE AT WOODLAND HILLS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COX (OWNER / AUTHORIZED OFFICIAL)
(918) 232-0305
Entity
Organization
Contact information
Practice address
7707 S MEMORIAL DR, TULSA, OK 74133-3643
(918) 394-1803
Mailing address
6271 E 120TH CT STE 100, TULSA, OK 74137-8813
(918) 394-1803
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7234
OK
314000000X
Skilled Nursing Facility
Primary
NH7234
OK
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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