# CEARU, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891911715
- **Authorized official:** MR. SCOTT D. PILGRIM (MANAGING MEMBER)
- **Authorized official phone:** (918) 366-4492

## Contact information

- **Practice address:** 8720 S. 101ST AVE, TULSA, OK 74133
- **Practice address phone:** (918) 965-0101
- **Practice address fax:** (918) 515-4883
- **Mailing address:** PO BOX 990, EDMOND, OK 73083-0990
- **Mailing address phone:** (405) 285-8166
- **Mailing address fax:** (405) 563-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH7203-7203 | OK | — |
| 314000000X | Skilled Nursing Facility | NH7203-7203 | OK | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 02/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200103940A | — | OK |