# PHOENIX HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Country Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740296490
- **Authorized official:** MS. CHRYSTAL WEST (BUSINESS OFFICE)
- **Authorized official phone:** (918) 743-3638

## Contact information

- **Practice address:** 3601 N COLUMBIA AVE, TULSA, OK 74110-1232
- **Practice address phone:** (918) 428-3600
- **Mailing address:** 3601 N COLUMBIA AVE, TULSA, OK 74110-1232
- **Mailing address phone:** (918) 428-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7204 | OK | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 05/14/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20040930B | — | OK |