Organization
RED BUD ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANDIE HASTINGS (PRESIDENT)
(405) 282-6285
Entity
Organization
Contact information
Practice address
215 W FREEMAN AVE, PERKINS, OK 74059-5600
(405) 547-8311
Mailing address
PO BOX 1095, GUTHRIE, OK 73044-1095
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL6006-6006
ASSISTED LIVING CENTER LICENSE FROM STATE OF OKLAHOMA
OK
Enumeration date
09/03/2020
Last updated
09/03/2020
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