| NPI | 1396279808 |
|---|---|
| Doing Business As | TEAL CREEK ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | GREGORY LANCE GUYMON COO 405-312-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: OK AL5541) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |