NPI 1083028856
Leisure Village Health Care
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
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.