Organization
HOUSE OF EDEN RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIFE (EXECUTIVE)
(539) 867-1531
Entity
Organization
Contact information
Practice address
3604 N MLK JR BLVD, TULSA, OK 74106-6447
(539) 867-1531
(539) 867-1531
Mailing address
3604 N MLK JR BLVD, TULSA, OK 74106-6447
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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