# PHOENIX HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710992250
- **Authorized official:** MRS. SUSAN A. FONDREN (ADMINISTRATOR)
- **Authorized official phone:** (918) 762-2515

## Contact information

- **Practice address:** 1401 4TH ST, PAWNEE, OK 74058-5003
- **Practice address phone:** (918) 762-2515
- **Practice address fax:** (918) 762-3704
- **Mailing address:** 1401 4TH ST, PAWNEE, OK 74058-5003
- **Mailing address phone:** (918) 762-2515
- **Mailing address fax:** (918) 762-3704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH5902-5902 | OK | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 05/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200040930E | — | OK |