Organization
CITY OF SAPULPA
Active
Other names
Arbor Village Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
BILL BUSH (CFO)
(405) 285-8166
Entity
Organization
Contact information
Practice address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
(918) 224-7739
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
(405) 563-9447
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1903
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH1903
LICENSE
OK
Enumeration date
08/31/2017
Last updated
08/31/2017
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