Whalio Doctors

NPI 1629001409

D E K Management LLC

Organisation Nursing Facility/Intermediate Care Facility Sapulpa, OK

Practice location

Address
102 E Line Ave, Sapulpa, OK 74066-2858
Phone
(918) 224-0833
Fax
(918) 227-2405
Mailing address
10842 S 137th West Ave, Sapulpa, OK 74066-6737

Authorised official

Name
Ernest M Johnson
Title
Administrator/Managing Member
Phone
(918) 224-0833

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence NH1902-1902 (OK)

Registry record

NPI
1629001409
Entity type
Organization
NPI issued
7 Jul 2006
Record last updated
15 Nov 2012

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.