Heatheridge Health Care, LLC

NPI #1508270380 in Tulsa, Oklahoma

Provider Information

NPI Number
1508270380
Entity Type
Organization
Organization Name
Heatheridge Health Care, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 19, 2014
Last Updated
Dec 2, 2015

Practice Location

Address
2130 S 85TH EAST AVE
City
Tulsa
ZIP Code
74129-3066
Phone
(918) 622-9191

Authorized Official

Name
JUDAH BIENSTOCK
Title
MANAGING MEMBER
Phone
(314) 631-3000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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