Organization
PHOENIX HEALTHCARE LLC
Active
Other names
Green Country Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRYSTAL WEST (BUSINESS OFFICE)
(918) 743-3638
Entity
Organization
Contact information
Practice address
3601 N COLUMBIA AVE, TULSA, OK 74110-1232
(918) 428-3600
Mailing address
3601 N COLUMBIA AVE, TULSA, OK 74110-1232
(918) 428-3600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH7204
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20040930B
—
OK
Enumeration date
08/01/2006
Last updated
05/14/2026
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