# HOUSE OF EDEN RESIDENTIAL CARE

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

## Provider details

- **NPI number:** 1952011637
- **Authorized official:** MICHAEL RIFE (EXECUTIVE)
- **Authorized official phone:** (539) 867-1531

## Contact information

- **Practice address:** 3604 N MLK JR BLVD, TULSA, OK 74106-6447
- **Practice address phone:** (539) 867-1531
- **Practice address fax:** (539) 867-1531
- **Mailing address:** 3604 N MLK JR BLVD, TULSA, OK 74106-6447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2022
- **Last updated:** 12/02/2022