Organization
WICKSHIRE OKLAHOMA CITY OPCO LLC
Active
Other names
Wickshire Oklahoma City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN O'KEEFE (CEO)
(615) 942-0240
Entity
Organization
Contact information
Practice address
12310 SOUTH WESTERN AVENUE, OKLAHOMA CITY, OK 73170
(405) 691-6555
Mailing address
750 OLD HICKORY BLVD, BUILDING ONE SUITE 125, BRENTWOOD, TN 37027
(615) 942-0240
(615) 806-7680
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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