Organization · Type 2 NPI

76th Street Land LLC

Skilled Nursing Facility · Tulsa, OK

NPI number 1659894202 Active

Practice location

7707 S Memorial Dr
Tulsa, OK 74133-3643

Call (918) 394-1803 Map

Mailing address

6271 E 120th Ct Ste 100
Tulsa, OK 74137-8813

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility	313M00000X	NH7234 (OK)
Skilled Nursing Facility Primary	314000000X	NH7234 (OK)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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NPI record

NPI: 1659894202
Entity type: Organization (Type 2)
Issued: Jul 25, 2017
Last updated: Jul 25, 2017
Status: Active

Other names

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The Cottage at Woodland Hills · doing business as
The Cottage at Woodland Hills · doing business as

Authorized official

Steven Cox
Owner / Authorized Official
(918) 232-0305

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659894202

76th Street Land LLC's National Provider Identifier is 1659894202, issued on Jul 25, 2017. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Tulsa, OK. The record was last updated on Jul 25, 2017.