Organization
SANTA FE PLACE LLC
Active
Other names
Santa Fe Tucson House
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM FORREST WHITE (MANAGING MEMBER)
(405) 634-8888
Entity
Organization
Contact information
Practice address
1000 S SANTA FE, BUILDING C, MOORE, OK 73160-2469
(405) 793-1643
(405) 793-1675
Mailing address
1000 S SANTA FE, BUILDING C, MOORE, OK 73160-2469
(405) 793-1643
(405) 793-1675
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH1419
OK
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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