Organization
TIAPS REHAB CENTER LLC
Active
Other names
Park Place Healthcare and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE BALLER (MANAGER OF SELECTIS MANAGEMENT, LLC)
(303) 449-2100
Entity
Organization
Contact information
Practice address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 681-1155
(405) 768-1156
Mailing address
1530 NE GRAND BLVD, OKLAHOMA CITY, OK 73117-5212
(405) 681-1155
(405) 768-1156
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
04/09/2021
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