Whalio Doctors

NPI 1093836280

Bedlam Properties, LLC

Organisation Skilled Nursing Facility Tulsa, OK

Practice location

Address
1805 E 15th St, Tulsa, OK 74104-4610
Phone
(918) 622-4799
Fax
(918) 622-4798

Authorised official

Name
Mark Lietzke
Title
Ceo
Phone
(918) 622-4799

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1093836280
Entity type
Organization
NPI issued
3 Apr 2007
Record last updated
26 Aug 2021

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.