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Organization
MIKE BUSSEY, RECEIVER, LLC
Active
Organization
MIKE BUSSEY, RECEIVER, LLC
Active
Other names
Sunset Estates of El Reno
Organization subpart
No
Provider details
NPI number
Authorized official
S. WENDY MCENTIRE (BUSINESS MANAGER)
(405) 737-0881
Entity
Organization
Contact information
Practice address
2100 TOWNSEND DR, EL RENO, OK 73036-2116
(405) 262-3323
(405) 262-3328
Mailing address
1380 S. DOUGLAS BLVD., MIDWEST CITY, OK 73130-5215
(405) 737-0881
(405) 737-0899
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
06049
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20008750A
—
OK
Enumeration date
04/12/2007
Last updated
08/22/2020
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