NPI 1659894202 · live from the CMS NPI Registry
76th Street Land LLC
Skilled Nursing Facility in Tulsa, OK. National Provider Identifier 1659894202, active.
NPI record
| NPI | 1659894202 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 7707 S Memorial Dr, Tulsa, OK 74133 |
| Practice phone | 918-394-1803 |
| Mailing address | 6271 E 120th Ct Ste 100, Tulsa, OK 74137 |
| Enumerated | July 25, 2017 |
| Last updated | July 25, 2017 |
| Authorized official | Steven Cox, Owner / Authorized Official |
| Other names | The Cottage At Woodland Hills |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | NH7234 (OK) |
| Skilled Nursing Facility primary | 314000000X | NH7234 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.