Organization
FAMILY TK5 HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PRATT (OWNER)
(603) 219-3891
Entity
Organization
Contact information
Practice address
9905 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159-6920
(590) 768-2249
Mailing address
9905 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159-6920
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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