Organization
WOODLAND PARK HOME MANAGEMENT COMPANY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RUCKER (ADMINISTRATOR)
(918) 743-7838
Entity
Organization
Contact information
Practice address
5707 S MEMORIAL DR, TULSA, OK 74145-9004
(918) 743-7838
Mailing address
5707 S MEMORIAL DR, TULSA, OK 74145-9004
(918) 743-7838
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH7232-7232
OK
Other
Enumeration date
07/19/2007
Last updated
08/07/2007
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