Healthcare Provider Details

I. General information

NPI: 1952444887
Provider Name (Legal Business Name): TULSA CHRISTIAN CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 E 36TH ST
TULSA OK
74135-5810
US

IV. Provider business mailing address

10810 E 45TH ST SUITE 300
TULSA OK
74146-3818
US

V. Phone/Fax

Practice location:
  • Phone: 918-622-3430
  • Fax: 918-622-3433
Mailing address:
  • Phone: 918-622-3430
  • Fax: 918-622-3433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: GEORGE PERRY FARMER JR.
Title or Position: OWNER
Credential:
Phone: 918-627-6846