# SKYLINE HEIGHTS OPERATING CO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maple Wood Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831172857
- **Authorized official:** MR. ROBERT DANIEL VAUGHAN (CEO)
- **Authorized official phone:** (770) 255-1810

## Contact information

- **Practice address:** 6202 E 61ST ST, TULSA, OK 74136-2119
- **Practice address phone:** (918) 494-8820
- **Practice address fax:** (918) 494-8837
- **Mailing address:** 16 NORCROSS ST, STE 100, ROSWELL, GA 30075-3810
- **Mailing address phone:** (770) 255-1810
- **Mailing address fax:** (770) 255-0059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH72267226 | OK | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 08/22/2020