# RANCH TERRACE NURSING HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043209992
- **Authorized official:** MR. RANDY D ISBELL (PRESIDENT)
- **Authorized official phone:** (918) 224-2578

## Contact information

- **Practice address:** 1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
- **Practice address phone:** (918) 224-2578
- **Practice address fax:** (918) 227-2907
- **Mailing address:** 1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
- **Mailing address phone:** (918) 224-2578
- **Mailing address fax:** (918) 227-2907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH1905-1905 | OK | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020