Organization
SOLSTICE LIVING SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE DOBROTT BERRYMAN (CHIEF FINANCIAL OFFICER)
(480) 268-2260
Entity
Organization
Contact information
Practice address
2642 E 21ST ST STE 285, TULSA, OK 74114-1789
(918) 574-8800
(918) 574-8801
Mailing address
2642 E 21ST ST, SUITE 285, TULSA, OK 74114-1716
(918) 574-8800
(918) 574-8801
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OKA100654
MEDICARE PTAN
OK
Enumeration date
03/26/2010
Last updated
03/27/2012
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