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Organization
PHOENIX HEALTH CARE LLC
Active
Organization
PHOENIX HEALTH CARE LLC
Active
Other names
SOUTH PARK EAST
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HOLLAND (REGIONAL BUSINESS OFFICE MANAGER)
(918) 743-3638
Entity
Organization
Contact information
Practice address
225 SW 35TH ST, OKLAHOMA CITY, OK 73109-6807
(405) 631-7444
(405) 631-1230
Mailing address
225 SW 35TH ST, OKLAHOMA CITY, OK 73109-6807
(405) 631-7444
(405) 631-1230
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
NH5534-5534
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040930C
—
OK
Enumeration date
07/29/2006
Last updated
05/14/2026
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