Organization
THEPARKEASSISTEDLIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MARTY (ADMINISTRATOR)
(918) 249-1262
Entity
Organization
Contact information
Practice address
7821 E 76TH ST, TULSA, OK 74133-3680
(918) 249-1262
Mailing address
7821 E 76TH ST, TULSA, OK 74133-3680
(918) 249-1262
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL7208
OK
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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