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Woodland Park Home, Inc.
Intellectual Disabilities Intermediate Care Facility in Tulsa, Oklahoma
NPI 1851513063

Woodland Park Home, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Tulsa, OK. Woodland Park Home, Inc. practices in Tulsa, OK. The NPI Number for Woodland Park Home, Inc. is 1851513063 and holds a License No. NH 7232-7232 (Oklahoma).

The current practice location address for Woodland Park Home, Inc. is 5707 S Memorial Dr, Tulsa, OK and can be reached out via phone at 918-252-2521.

Location: 5707 S Memorial Dr, Tulsa, OK, 74145-9004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851513063
Provider Name
Woodland Park Home, Inc.
Credential
Provider Entity Type
Organization
Address
5707 S Memorial Dr, Tulsa, OK, 74145-9004
Phone Number
918-252-2521
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200114440A 05 OK
institution
Provider Business Practice Location Address Details
Address
5707 S Memorial Dr
City
Tulsa
State
Oklahoma
Zip
74145-9004
Phone Number
918-252-2521
Fax Number
person
Provider Business Mailing Address Details
Address
5707 S Memorial Dr
City
Tulsa
State
Oklahoma
Zip
74145-9004
Phone Number
918-252-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
NH 7232-7232 (Oklahoma)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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