NPI 1487981437

Green Acres Residential Care

Organisation Assisted Living Facility Tahlequah, OK

Practice location

Address: 612 W Downing St, Tahlequah, OK 74464-2716
Phone: (918) 456-8677
Fax: (918) 456-8677

Authorised official

Name: Helen Farris
Title: Administrator
Phone: (918) 456-0704

Registered specialties

Assisted Living Facility Primary

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

Other Assisted Living Facility providers in Oklahoma →

Registry record

NPI: 1487981437
Entity type: Organization
NPI issued: 12 Nov 2009
Record last updated: 12 Nov 2009

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.