Organization
PHOENIX HEALTH CARE LLC
Active
Other names
SOUTH PARK EAST
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI HOLLAND (REGIONAL BUSINESS OFFICE MANAGER)
(918) 743-3638
Entity
Organization
Contact information
Practice address
225 SW 35TH ST, OKLAHOMA CITY, OK 73109-6807
(405) 631-7444
(405) 631-1230
Mailing address
225 SW 35TH ST, OKLAHOMA CITY, OK 73109-6807
(405) 631-7444
(405) 631-1230
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
NH5534-5534
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200040930C
—
OK
Enumeration date
07/29/2006
Last updated
05/14/2026
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