NPI 1902098437

Santa Fe Place LLC

Organisation Intellectual Disabilities Intermediate Care Facility Moore, OK

Practice location

Address: 1000 S Santa Fe Ave A, Moore, OK 73160-2469
Phone: (405) 912-5377
Fax: (405) 912-5382

Authorised official

Name: William Forrest White
Title: Managing Member
Phone: (405) 634-8888

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH1416-1416 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1902098437
Entity type: Organization
NPI issued: 17 Aug 2007
Record last updated: 17 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.