Organization
BROADMOOR HEALTH CARE, LLC
Active
Other names
Broadmoor Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (MANAGING MEMBER)
(314) 631-3000
Entity
Organization
Contact information
Practice address
8205 E 22ND ST, TULSA, OK 74129-2839
(918) 622-2151
(918) 622-2233
Mailing address
8205 E 22ND ST, TULSA, OK 74129-2839
(918) 622-2151
(918) 622-2233
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
12/02/2015
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