Organization
LEGEND AT COUNCIL ROAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA BURKHALTER (RESIDENCE DIRECTOR)
(405) 721-0300
Entity
Organization
Contact information
Practice address
11320 N COUNCIL RD, OKLAHOMA CITY, OK 73162-2517
(405) 721-0300
Mailing address
11320 N COUNCIL RD, OKLAHOMA CITY, OK 73162-2517
(405) 721-0300
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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