Organization
AUTUMNBRIDGE SOUTHWEST LLC
Active
Other names
RoseRock Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LOWERY SLAUGHTER (CONTROLLER)
(405) 613-0055
Entity
Organization
Contact information
Practice address
2642 E 21ST ST, TULSA, OK 74114-1716
(918) 236-4866
(918) 236-4867
Mailing address
2642 E 21ST ST, TULSA, OK 74114-1716
(918) 236-4866
(918) 236-4867
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
4196
OK
Other
Enumeration date
11/11/2005
Last updated
10/13/2015
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