Organization
WILDWOOD CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED RUCKER I (ADMINISTRATOR)
(918) 743-7838
Entity
Organization
Contact information
Practice address
3333 E 28TH ST, TULSA, OK 74114-5915
(918) 747-8008
Mailing address
3333 E 28TH ST, TULSA, OK 74114-5915
(918) 747-8008
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7209-7209
OK
314000000X
Skilled Nursing Facility
Primary
NH7209-7209
OK
Other
Enumeration date
09/29/2006
Last updated
09/11/2025
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