Organization
UNIVERSITY VILLAGE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA ILENE NEAL NHA (COO)
(918) 298-3652
Entity
Organization
Contact information
Practice address
8555 S LEWIS AVE, TULSA, OK 74137-1218
(918) 298-3321
(918) 298-3691
Mailing address
8555 S LEWIS AVE, TULSA, OK 74137-1218
(918) 298-3321
(918) 298-3691
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH7231
OK
Other
Enumeration date
10/26/2005
Last updated
12/04/2008
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