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Organization

QUAIL RIDGE SENIOR DEVELOPMENT, LLC

Active
Other names
Quail Ridge Senior Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN R LEVEY (MANAGING MEMBER)
(213) 705-9397
Entity
Organization

Contact information

Practice address
12401 TRAIL OAKS DR, OKLAHOMA CITY, OK 73120-1701
(405) 755-5775
Mailing address
12401 TRAIL OAKS DR, OKLAHOMA CITY, OK 73120-1701
(405) 755-5775

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NONE
NONE
Enumeration date
09/08/2020
Last updated
09/08/2020
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