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Organization
PHOENIX HEALTHCARE LLC
Active
Organization
PHOENIX HEALTHCARE LLC
Active
Other names
The Lakes Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRYSTAL WEST (BUSINESS OFFICE)
(918) 743-3638
Entity
Organization
Contact information
Practice address
5701 W BRITTON RD, OKLAHOMA CITY, OK 73132-2402
(405) 773-8900
(405) 720-5825
Mailing address
5701 W BRITTON RD, OKLAHOMA CITY, OK 73132-2402
(405) 773-8900
(405) 720-5825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5519-5519
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040930G
—
OK
Enumeration date
07/29/2006
Last updated
05/14/2026
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