Organization
BROOKLINE OPERATIONS, LLC
Active
Other names
The Lodge at Brookline
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PILGRIM (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
5301 N BROOKLINE AVE, OKLAHOMA CITY, OK 73112-3516
(405) 251-2847
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
(405) 563-9447
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH5513
OK
Other
Enumeration date
02/26/2018
Last updated
05/29/2020
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