Healthcare Provider Details

I. General information

NPI: 1164302006
Provider Name (Legal Business Name): OKLA DAY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 N GLADE AVE
BETHANY OK
73008-4968
US

IV. Provider business mailing address

2500 N GLADE AVE
BETHANY OK
73008-7905
US

V. Phone/Fax

Practice location:
  • Phone: 347-225-1921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEVI SIMPSON
Title or Position: OWNER
Credential:
Phone: 347-225-1921