Organization
PHOENIX HEALTHCARE LLC
Active
Other names
The Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TAYLOR (MEDICARE SPECIALIST)
(918) 645-6164
Entity
Organization
Contact information
Practice address
1165 S. BRENNER RD, SAPULPA, OK 74066-6141
(918) 224-0600
(918) 224-6287
Mailing address
1165 S. BRENNER RD, SAPULPA, OK 74066-6141
(918) 224-0600
(918) 224-6287
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH1906-1906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040930A
—
OK
Enumeration date
08/09/2006
Last updated
05/14/2026
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