Organization
POST ACUTE SPECIALTY HOSPITAL OF TULSA LLC
Active
Other names
PAM Specialty Hospital of Tulsa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY F MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
3219 S 79TH EAST AVE, TULSA, OK 74145-1343
(918) 663-8183
(918) 660-5376
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
(717) 731-9665
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
2327
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518600 A
—
OK
Enumeration date
05/09/2013
Last updated
08/03/2023
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