Organization
SAGE BRADBURY COMMONS
Active
Other names
BRADBURY COMMONS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY D GREEN (CEO)
(918) 812-6968
Entity
Organization
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 370-7132
Mailing address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 370-7132
(918) 812-6968
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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