# SEQUOYAH MANOR LLC

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

## Provider details

- **NPI number:** 1346343720
- **Authorized official:** MRS. DEBBIE LYNN SANDERS (ADMINISTRATOR)
- **Authorized official phone:** (918) 775-4881

## Contact information

- **Practice address:** 615 EAST REDWOOD, SALLISAW, OK 74955
- **Practice address phone:** (918) 775-4881
- **Practice address fax:** (918) 775-2752
- **Mailing address:** 615 E. REDWOOD STREET, SALLISAW, OK 74955
- **Mailing address phone:** (918) 775-4881
- **Mailing address fax:** (918) 775-2752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH68036803 | OK | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 01/28/2008
