NPI 1093836280 · live from the CMS NPI Registry
Bedlam Properties, LLC
Skilled Nursing Facility in Tulsa, OK. National Provider Identifier 1093836280, active.
NPI record
| NPI | 1093836280 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1805 E 15th St, Tulsa, OK 74104 |
| Practice phone | 918-622-4799 |
| Enumerated | April 3, 2007 |
| Last updated | August 26, 2021 |
| Authorized official | Mark Lietzke, Ceo |
| Other names | Hillcrest Manor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.