# CITY OF SAPULPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arbor Village Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568980431
- **Authorized official:** BILL BUSH (CFO)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 310 W TAFT AVE, SAPULPA, OK 74066-5437
- **Practice address phone:** (918) 224-6012
- **Practice address fax:** (918) 224-7739
- **Mailing address:** PO BOX 990, EDMOND, OK 73083-0990
- **Mailing address phone:** (405) 285-8166
- **Mailing address fax:** (405) 563-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH1903 | OK | Yes |

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 08/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NH1903 | LICENSE | OK |