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PHOENIX HEALTH CARE LLC

Alzheimer Center

Oklahoma City, Oklahoma

Provider NPI: 1972518835

Organization Information:
Organization Name:  PHOENIX HEALTH CARE LLC


Practice Location:
225 SW 35TH ST  OKLAHOMA CITY, OK 73109 US
Tel: 405-631-7444  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
OKNH5534-5534

Other Provider Identifiers:

IssuerNumberStateType
200040930COK05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS OK - Page 1