Organization
SANTA FE RESIDENTIAL CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE JEAN TIPTON (OWNER/OPERATOR)
(918) 244-9876
Entity
Organization
Contact information
Practice address
618 E CANADIAN AVE, VINITA, OK 74301-3810
(918) 244-9876
Mailing address
PO BOX 148, VINITA, OK 74301-0148
(918) 244-9876
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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