# 76TH STREET LAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE COTTAGE AT WOODLAND HILLS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659894202
- **Authorized official:** STEVEN COX (OWNER / AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 232-0305

## Contact information

- **Practice address:** 7707 S MEMORIAL DR, TULSA, OK 74133-3643
- **Practice address phone:** (918) 394-1803
- **Mailing address:** 6271 E 120TH CT STE 100, TULSA, OK 74137-8813
- **Mailing address phone:** (918) 394-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7234 | OK | — |
| 314000000X | Skilled Nursing Facility | NH7234 | OK | Yes |

## Other

- **Enumeration date:** 07/25/2017
- **Last updated:** 07/25/2017