Healthcare Provider Details

I. General information

NPI: 1295419927
Provider Name (Legal Business Name): TSES ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2023
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 S YALE AVE STE 201
TULSA OK
74135-7486
US

IV. Provider business mailing address

5200 S YALE AVE STE 201
TULSA OK
74135-7486
US

V. Phone/Fax

Practice location:
  • Phone: 918-350-8013
  • Fax: 844-319-6614
Mailing address:
  • Phone: 918-350-8013
  • Fax: 844-319-6614

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: MS. FELICIA THOMPSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 918-350-8013