South Park Health Care LLC
NPI #1366788549 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1366788549
- Entity Type
- Organization
- Organization Name
- South Park Health Care LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 17, 2012
- Last Updated
- Dec 2, 2015
Practice Location
- Address
- 5725 S ROSS AVE
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73119-5650
- Phone
- (405) 685-0232
Authorized Official
- Name
- JUDAH BIENSTOCK
- Title
- MANAGING MEMBER
- Phone
- (314) 812-2550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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