NPI 1801170139

Jenesis Care Homes, INC

Organisation Adult Care Home Facility Tulsa, OK

Practice location

Address: 8234 S Sandusky Ave, Tulsa, OK 74137-1833
Phone: (918) 629-9354
Fax: (832) 487-8009
Mailing address: 528 E Reading St, Tulsa, OK 74106-4326

Authorised official

Name: Randy Jackson
Title: President
Phone: (918) 629-9354

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence RC7272-7272 (OK)

Other Custodial Care Facility providers in Oklahoma →

Registry record

NPI: 1801170139
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

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.