Organization
GRACEWOOD HEALTH & REHAB LLC
Active
Other names
GRACEWOOD HEALTH & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD MONTGOMERY (MEMBER)
(479) 715-6759
Entity
Organization
Contact information
Practice address
6201 E 36TH ST, TULSA, OK 74135-5810
(918) 622-3430
(918) 622-0626
Mailing address
9 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
(479) 715-6759
(479) 715-6922
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH7229
OK
Other
Enumeration date
10/31/2015
Last updated
06/07/2024
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