Organization
TAD INVESTMENTS
Active
Other names
Rambling Rose Independent Livingq
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANDY A RISMAN (MANAGING MEMER)
(918) 782-9370
Entity
Organization
Contact information
Practice address
35164 S 4465 RD, VINITA, OK 74301-6782
(918) 782-9370
Mailing address
35164 S 4465 RD, VINITA, OK 74301-6782
(918) 782-9370
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC4904-4904
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC4904-4904
OKLAHOMA STATE DEPT OF HEALTH RESIDENTIAL CARE HOME LICENSE
OK
Enumeration date
06/11/2008
Last updated
06/11/2008
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