NPI 1356869242

City of Sapulpa

Organisation Skilled Nursing Facility Midwest City, OK

Practice location

Address: 1400 Buena Vista Ave, Midwest City, OK 73110-2604
Phone: (405) 285-8166
Mailing address: PO Box 990, Edmond, OK 73083-0990

Authorised official

Name: Bill Bush
Title: Cfo
Phone: (405) 285-8166

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NH5521 (OK)

Other Skilled Nursing Facility providers in Oklahoma →

Registry record

NPI: 1356869242
Entity type: Organization
NPI issued: 31 Aug 2017
Record last updated: 31 Aug 2017

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.