Ignite Medical Resort Tulsa, LLC

NPI #1891507620 in Tulsa, Oklahoma

Provider Information

NPI Number
1891507620
Entity Type
Organization
Organization Name
Ignite Medical Resort Tulsa, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 20, 2025
Last Updated
Jan 20, 2025

Practice Location

Address
8720 S 101ST EAST AVE
City
Tulsa
ZIP Code
74133-5840
Phone
(918) 965-0101

Authorized Official

Name
TIMOTHY FIELDS
Title
MANAGER
Phone
(630) 327-2951

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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