Organization
SKYLINE HEIGHTS OPERATING CO LLC
Active
Other names
Maple Wood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DANIEL VAUGHAN (CEO)
(770) 255-1810
Entity
Organization
Contact information
Practice address
6202 E 61ST ST, TULSA, OK 74136-2119
(918) 494-8820
(918) 494-8837
Mailing address
16 NORCROSS ST, STE 100, ROSWELL, GA 30075-3810
(770) 255-1810
(770) 255-0059
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH72267226
OK
Other
Enumeration date
11/23/2005
Last updated
08/22/2020
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