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Organization

SANTA FE PLACE LLC

Active
Other names
Santa Fe Sierra House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM FORREST WHITE (MANAGING MEMBER)
(405) 634-8888
Entity
Organization

Contact information

Practice address
1000 S SANTA FE AVE, A, MOORE, OK 73160-2469
(405) 912-5377
(405) 912-5382
Mailing address
1000 S SANTA FE AVE, A, MOORE, OK 73160-2469

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH1416-1416
OK

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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