Organization
PHOENIX REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY CAIN (OWNER)
(918) 585-5109
Entity
Organization
Contact information
Practice address
1021 CHARLES PAGE BLVD, STE 200, TULSA, OK 74127-8815
(918) 585-5109
(918) 743-3767
Mailing address
1021 CHARLES PAGE BLVD, STE 200, TULSA, OK 74127
(918) 585-5109
(918) 743-3767
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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