Organization
MANOR CARE OF TULSA OK LLC
Active
Other names
ManorCare Health Services - Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENT)
(419) 252-5541
Entity
Organization
Contact information
Practice address
2425 S MEMORIAL DR, TULSA, OK 74129-2617
(918) 628-0932
(918) 622-2060
Mailing address
333 N SUMMIT ST, ATTN BARRY LAZARUS, TOLEDO, OH 43604-1531
(419) 252-5541
(419) 254-5494
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH72107210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264330A
—
OK
Enumeration date
08/17/2009
Last updated
12/22/2009
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