Organization
BEACON RIDGE SNF OPERATIONS LLC
Active
Other names
Beacon Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GANZ (MANAGER)
(832) 422-8848
Entity
Organization
Contact information
Practice address
102 E LINE AVE, SAPULPA, OK 74066-2858
(918) 216-1811
(918) 514-6709
Mailing address
102 E LINE AVE, SAPULPA, OK 74066-2858
(918) 216-1811
(918) 514-6709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
01/05/2023
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