# TRITON HEALTH ELDER CARE LLC

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

## Provider details

- **NPI number:** 1619710787
- **Authorized official:** CARY PATRICK SULLIVAN DO (MD/OWNER)
- **Authorized official phone:** (918) 773-5228

## Contact information

- **Practice address:** 305 N THORNTON ST, VIAN, OK 74962-5088
- **Practice address phone:** (918) 773-5228
- **Mailing address:** PO BOX 446, VIAN, OK 74962-0446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2024
- **Last updated:** 06/17/2024