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Organization

KGC OPERATOR, INC.

Active
Other names
Alterra Clare Bridge Cottage of SW Oklahoma City
Organization subpart
No

Provider details

NPI number
Authorized official
MARK OHLENDORF (CO-PRESIDENT)
(414) 918-5000
Entity
Organization

Contact information

Practice address
10001 S MAY AVE, OKLAHOMA CITY, OK 73159-6600
(405) 691-0409
Mailing address
6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647
(414) 918-5000

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/01/2008
Last updated
05/08/2008
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