Organization
RANCH TERRACE NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY D ISBELL (PRESIDENT)
(918) 224-2578
Entity
Organization
Contact information
Practice address
1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
(918) 224-2578
(918) 227-2907
Mailing address
1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
(918) 224-2578
(918) 227-2907
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NH1905-1905
OK
Other
Enumeration date
10/13/2005
Last updated
08/22/2020
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