Whalio Doctors

NPI 1083028856

Leisure Village Health Care

Organisation Skilled Nursing Facility Tulsa, OK

Practice location

Address
2154 S 85th East Ave, Tulsa, OK 74129-3012
Phone
(918) 622-4747
Fax
(918) 622-0304

Authorised official

Name
Judah Bienstock
Title
Managing Member
Phone
(314) 631-3000

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH7216 (OK)

Registry record

NPI
1083028856
Entity type
Organization
NPI issued
19 Jun 2014
Record last updated
2 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.