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Organization
SANTA FE PLACE LLC
Active
Organization
SANTA FE PLACE LLC
Active
Other names
Santa Fe Sierra House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM FORREST WHITE (MANAGING MEMBER)
(405) 634-8888
Entity
Organization
Contact information
Practice address
1000 S SANTA FE AVE, A, MOORE, OK 73160-2469
(405) 912-5377
(405) 912-5382
Mailing address
1000 S SANTA FE AVE, A, MOORE, OK 73160-2469
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH1416-1416
OK
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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