# MIKE BUSSEY, RECEIVER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunset Estates of El Reno
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740404409
- **Authorized official:** S. WENDY MCENTIRE (BUSINESS MANAGER)
- **Authorized official phone:** (405) 737-0881

## Contact information

- **Practice address:** 2100 TOWNSEND DR, EL RENO, OK 73036-2116
- **Practice address phone:** (405) 262-3323
- **Practice address fax:** (405) 262-3328
- **Mailing address:** 1380 S. DOUGLAS BLVD., MIDWEST CITY, OK 73130-5215
- **Mailing address phone:** (405) 737-0881
- **Mailing address fax:** (405) 737-0899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 06049 | OK | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20008750A | — | OK |