Organization
CONTINUOUS CARE CENTER OF TULSA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIL WYATT (CFO)
(918) 749-8930
Entity
Organization
Contact information
Practice address
1923 S UTICA AVE, 4 SOUTH, TULSA, OK 74104-6520
(918) 749-8930
(918) 749-9373
Mailing address
1924 S UTICA AVE, SUITE 600, TULSA, OK 74104-6510
(918) 749-8930
(918) 749-9373
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2336
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700500A
—
OK
Enumeration date
07/22/2005
Last updated
09/15/2009
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