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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