76TH STREET LAND LLC
Organization (NPI-2)
Active
Skilled Nursing Facility
Provider Information
- NPI Number
1659894202- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7707 S MEMORIAL DR, TULSA, OK, 741333643
- Phone
- (918) 394-1803
Specialties & Taxonomies
Nursing Facility/Intermediate Care Facility
License: OK #NH7234
Skilled Nursing Facility
Primary License: OK #NH7234