Santa Fe Place LLC

NPI #1902098437 in Moore, Oklahoma

Provider Information

NPI Number
1902098437
Entity Type
Organization
Organization Name
Santa Fe Place LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Aug 17, 2007
Last Updated
Aug 17, 2007

Practice Location

Address
1000 S SANTA FE AVE
Address 2
A
City
Moore
ZIP Code
73160-2469
Phone
(405) 912-5377

Authorized Official

Name
MR. WILLIAM FORREST WHITE
Title
MANAGING MEMBER
Phone
(405) 634-8888

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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