Organization
PROMISE REDEEMER L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C THOMPSON (SOLE MEMBER)
(405) 424-2273
Entity
Organization
Contact information
Practice address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 424-2273
Mailing address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 424-2273
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5549
OK
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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