NPI 1396279808

Teal Creek Life Care Community INC

Organisation Assisted Living Facility Edmond, OK

Practice location

Address: 13501 N. Bryant Ave., Edmond, OK 73013
Phone: (405) 312-8050
Fax: (866) 542-6483

Authorised official

Name: Gregory Lance Guymon
Title: Coo
Phone: (405) 312-8050

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL5541 (OK)

Other Assisted Living Facility providers in Oklahoma →

Registry record

NPI: 1396279808
Entity type: Organization
NPI issued: 12 Apr 2017
Record last updated: 12 Apr 2017

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.