Healthcare Provider Details

I. General information

NPI: 1679119192
Provider Name (Legal Business Name): TULSA HILLS COMMUNITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2019
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 W 71ST ST
TULSA OK
74132-2117
US

IV. Provider business mailing address

3800 W 71ST ST
TULSA OK
74132-2117
US

V. Phone/Fax

Practice location:
  • Phone: 918-481-9988
  • Fax: 918-481-9989
Mailing address:
  • Phone: 918-481-9988
  • Fax: 918-481-9989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID G ERICKSON
Title or Position: SVP, GENERAL COUNSEL
Credential:
Phone: 773-878-4325