NPI 1124326434

Conhold of Ponca LLC

Organisation Skilled Nursing Facility Ponca City, OK

Practice location

Address: 2024 Turner St, Ponca City, OK 74604-2732
Phone: (580) 765-3364
Fax: (580) 765-3376

Authorised official

Name: James Frank Sullivan
Title: Owner
Phone: (918) 774-9696

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH3607-3607 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1124326434
Entity type: Organization
NPI issued: 10 Mar 2011
Record last updated: 21 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.