<Unavail>

LBN: Leisure Village Operating Llc
<Unavail> is an health care organization with primary practice located at 2154 S 85Th East Ave , Tulsa OK 74129-3012. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Leisure Village Operating Llc can be contacted via phone (918) 622-4747, or through Hambric, Diane H. via phone (918) 523-0222.

Contact Information

Primary practice address
2154 S 85Th East Ave Tulsa OK 74129-3012
Phone: (918) 622-4747
Fax: (918) 622-0304
Website:
Map and Directions
Authorized official contact:
Name: Hambric, Diane H.
Phone: (918) 523-0222

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH7216-7216 Oklahoma

Profile Details

NPI number 1760480768
LBN Legal business name Leisure Village Operating Llc
DBA Doing business as <Unavail>
Authorized official Hambric, Diane H.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 14th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760480768 NPPES
Oklahoma MEDICAID 200054790A

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