Woodland Park Home, Inc. in Tulsa - Intermediate Care Facility, Intellectual Disabilities
Woodland Park Home, Inc. - NPI 1851513063
Woodland Park Home, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Tulsa, Oklahoma. Woodland Park Home, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Woodland Park Home, Inc. is 1851513063. The last update date is 2011-05-20.
Woodland Park Home, Inc.'s current location address is 5707 S Memorial Dr, Tulsa, Oklahoma. You can contact this provider via phone number 9182522521. The mailing address for Woodland Park Home, Inc. is 5707 S Memorial Dr, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodland Park Home, Inc. |
|---|---|
| Address | 5707 S Memorial Dr, Tulsa, Oklahoma |
| Phone Number | 9182522521 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rucker Ed |
| Telephone Number | 9187437838 |
NPI Number Detail
| NPI Number | 1851513063 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2011-05-20 |
Provider Mailing Address Detail
| Address | 5707 S Memorial Dr |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741459004 |
| Phone Number | 9182522521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | NH 7232-7232 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200114440A | OK | -- |
Post Comment/ Review Below
What is the Woodland Park Home, Inc.'s 1851513063?
The Woodland Park Home, Inc.'s NPI (National Provider Identifier) Number is 1851513063. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Woodland Park Home, Inc.'s facilities are situated?
The facilities of Woodland Park Home, Inc. are physically located at the following address: 5707 S Memorial Dr, Tulsa, OK, 741459004.
What is Woodland Park Home, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Woodland Park Home, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851513063 to Woodland Park Home, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1851513063 to Woodland Park Home, Inc. on 2007-05-03.
When was the information regarding Woodland Park Home, Inc. most recently updated?
The details pertaining to the Woodland Park Home, Inc., including its address, specialty, and other relevant information, were last refreshed on 2011-05-20.