Organization
SH CCRC, LLC
Active
Other names
SOUTHERN HILLS REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORENE M FORD (DIRECTOR OF MIS)
(239) 963-3400
Entity
Organization
Contact information
Practice address
5170 S VANDALIA AVE, TULSA, OK 74135
(918) 496-3963
(918) 496-0774
Mailing address
1400 CENTREPARK BLVD STE 810, WEST PALM BEACH, FL 33401-7412
(239) 963-3400
(239) 963-3401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH7227-7227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774500A
—
OK
Enumeration date
05/26/2009
Last updated
05/14/2018
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