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Organization

TEAL CREEK LIFE CARE COMMUNITY INC

Active
Other names
Teal Creek Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY LANCE GUYMON (COO)
(405) 312-8050
Entity
Organization

Contact information

Practice address
13501 N. BRYANT AVE., EDMOND, OK 73013
(405) 312-8050
(866) 542-6483
Mailing address
13501 N. BRYANT AVE., EDMOND, OK 73013
(405) 312-8050
(866) 542-6483

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5541
OK

Other

Enumeration date
04/12/2017
Last updated
04/12/2017
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