NPI 1710391586

Broadmoor Health Care, LLC

Organisation Custodial Care Facility Tulsa, OK

Practice location

Address: 8205 E 22nd St, Tulsa, OK 74129-2839
Phone: (918) 622-2151
Fax: (918) 622-2233

Authorised official

Name: Judah Bienstock
Title: Managing Member
Phone: (314) 631-3000

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1710391586
Entity type: Organization
NPI issued: 19 Jun 2014
Record last updated: 2 Dec 2015

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.