NPI 1740404409

Mike Bussey, Receiver, LLC

Organisation Nursing Facility/Intermediate Care Facility El Reno, OK

Practice location

Address: 2100 Townsend Dr, El Reno, OK 73036-2116
Phone: (405) 262-3323
Fax: (405) 262-3328
Mailing address: 1380 S. Douglas Blvd., Midwest City, OK 73130-5215

Authorised official

Name: S. Wendy McEntire
Title: Business Manager
Phone: (405) 737-0881

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 06049 (OK)

Other Nursing Facility/Intermediate Care Facility providers in Oklahoma →

Registry record

NPI: 1740404409
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 22 Aug 2020

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.