Organization
LIFE SENIOR SERVICES, INC
Active
Other names
Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILLY EARL COPELAND (CHIEF FINANCIAL OFFICER)
(918) 938-7606
Entity
Organization
Contact information
Practice address
5950 E 31ST ST, TULSA, OK 74135-5114
(918) 664-9000
(918) 665-0830
Mailing address
5950 E 31ST ST, TULSA, OK 74135-5114
(918) 664-9000
(918) 665-0830
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
DC7204-7204
OK
261QA0600X
Adult Day Care Clinic/Center
DC7210-7210
OK
261QA0600X
Adult Day Care Clinic/Center
DC7211-7211
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100681690B
—
OK
05
—
100681690C
—
OK
Enumeration date
03/28/2007
Last updated
11/10/2022
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