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Organization
PF SOUTHERN HILLS SNF OPS, LLC
Active
Organization
PF SOUTHERN HILLS SNF OPS, LLC
Active
Other names
The Villages at Southern Hills
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M CHANCE (AUTHORIZED OFFICIAL)
(214) 725-2837
Entity
Organization
Contact information
Practice address
5721 S LEWIS AVE, TULSA, OK 74105-7129
(918) 447-6447
(918) 447-9661
Mailing address
1500 WATERS RIDGE DR STE 200, LEWISVILLE, TX 75057-6056
(972) 899-4126
(469) 312-3796
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
CC7207-7207
OK
313M00000X
Nursing Facility/Intermediate Care Facility
CC7207-7207
OK
314000000X
Skilled Nursing Facility
Primary
CC7207-7207
OK
Other
Enumeration date
01/19/2011
Last updated
06/16/2022
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