Organization
76TH STREET LAND LLC
Active
Other names
THE COTTAGE AT WOODLAND HILLS
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COX (OWNER / AUTHORIZED OFFICIAL)
(918) 232-0305
Entity
Organization
Contact information
Practice address
7707 S MEMORIAL DR, TULSA, OK 74133-3643
(918) 394-1803
Mailing address
6271 E 120TH CT STE 100, TULSA, OK 74137-8813
(918) 394-1803
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7234
OK
314000000X
Skilled Nursing Facility
Primary
NH7234
OK
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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