NPI 1104830421

Phoenix Healthcare LLC

Organisation Skilled Nursing Facility Tulsa, OK

Practice location

Address: 1944 N Iroquois Ave, Tulsa, OK 74106-4407
Phone: (918) 583-1509
Fax: (918) 583-1804

Authorised official

Name: Angela Matthews
Title: Medicare Specialist
Phone: (918) 743-3638

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH7221 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1104830421
Entity type: Organization
NPI issued: 29 Jul 2006
Record last updated: 8 Aug 2008

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.