Organization
SOUTH PARK HEALTH CARE LLC
Active
Other names
South Pointe Rehab and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 812-2550
Entity
Organization
Contact information
Practice address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-0232
(405) 685-0232
Mailing address
5725 S ROSS AVE, OKLAHOMA CITY, OK 73119-5650
(405) 685-4791
(405) 685-0232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/02/2015
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