Organization
HEATHERIDGE HEALTH CARE, LLC
Active
Other names
Heatheridge Assisted Living & Residential Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 631-3000
Entity
Organization
Contact information
Practice address
2130 S 85TH EAST AVE, TULSA, OK 74129-3066
(918) 622-9191
(918) 622-9205
Mailing address
2130 S 85TH EAST AVE, TULSA, OK 74129-3066
(918) 622-9191
(918) 622-9205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
12/02/2015
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