| NPI | 1972518835 |
|---|---|
| Doing Business As | SOUTH PARK EAST |
| Entity Type | Organization |
| Authorized Contact | BRANDI HOLLAND Regional Business Office Manager 918-743-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: OK NH5534-5534) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-04-18 |