NPI 1194925909

Woodland Park Home Management Company, L.L.C.

Organisation Intellectual Disabilities Intermediate Care Facility Tulsa, OK

Practice location

Address: 5707 S Memorial Dr, Tulsa, OK 74145-9004
Phone: (918) 743-7838

Authorised official

Name: Ed Rucker
Title: Administrator
Phone: (918) 743-7838

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH7232-7232 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1194925909
Entity type: Organization
NPI issued: 19 Jul 2007
Record last updated: 7 Aug 2007

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.