# PHOENIX HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tulsa Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780687590
- **Authorized official:** MR. LARRY CAIN (RECEIVER)
- **Authorized official phone:** (918) 438-2440

## Contact information

- **Practice address:** 10912 E 14TH ST, TULSA, OK 74128-4845
- **Practice address phone:** (918) 438-2440
- **Practice address fax:** (918) 437-0869
- **Mailing address:** 10912 E 14TH ST, TULSA, OK 74128-4845
- **Mailing address phone:** (918) 438-2440
- **Mailing address fax:** (918) 437-0869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7230-7230 | OK | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 08/22/2020