Organization
LEISURE VILLAGE HEALTH CARE
Active
Other names
Leisure Village Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 631-3000
Entity
Organization
Contact information
Practice address
2154 S 85TH EAST AVE, TULSA, OK 74129-3012
(918) 622-4747
(918) 622-0304
Mailing address
2154 S 85TH EAST AVE, TULSA, OK 74129-3012
(918) 622-4747
(918) 622-0304
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH7216
OK
Other
Enumeration date
06/19/2014
Last updated
12/02/2015
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