Organization
BEDLAM PROPERTIES, LLC
Active
Other names
Hillcrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LIETZKE (CEO)
(918) 622-4799
Entity
Organization
Contact information
Practice address
1805 E 15TH ST, TULSA, OK 74104-4610
(918) 622-4799
(918) 622-4798
Mailing address
1805 E 15TH ST, TULSA, OK 74104-4610
(918) 622-4799
(918) 622-4798
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/26/2021
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