TEAL CREEK LIFE CARE COMMUNITY INC NPI 1396279808

NPI Information

TEAL CREEK LIFE CARE COMMUNITY INC is an assisted living facility in Edmond, OK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. TEAL CREEK LIFE CARE COMMUNITY INC NPI is 1396279808. The provider is registered as an organization entity type.
The provider Is Doing Business As Teal Creek Assisted Living.

The provider's business location address is:

13501 N. BRYANT AVE.
EDMOND, OK
ZIP 73013
Phone: (405) 312-8050
Fax: (866) 542-6483

The provider's authorized official is Gregory Lance Guymon .
The authorized official title is Coo and has the following contact phone number (405) 312-8050.

The CLIA number assigned to this NPI record is 37D2262422 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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