| Solstice Living Solutions, Inc. | |
|
2642 E 21st St Ste 285 Tulsa OK 74114-1789 | |
| (918) 574-8800 | |
| (918) 574-8801 |
| Full Name | Solstice Living Solutions, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 2642 E 21st St Ste 285, Tulsa, Oklahoma |
| Authorized Official Name and Position | Renee Dobrott Berryman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4802682260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solstice Living Solutions, Inc. 2642 E 21st St Suite 285 Tulsa OK 74114-1716 Ph: (918) 574-8800 | Solstice Living Solutions, Inc. 2642 E 21st St Ste 285 Tulsa OK 74114-1789 Ph: (918) 574-8800 |
| NPI Number | 1245554716 |
|---|---|
| Provider Enumeration Date | 03/26/2010 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245554716 | NPI | - | NPPES |
| OKA100654 | Other | OK | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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