Organization
SEQUOYAH RESIDENTIAL MENTAL HEALTH FACILITY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY ROUSE R.N (ADMINISTRATOR)
(918) 775-7751
Entity
Organization
Contact information
Practice address
103 N WHEELER AVE, SALLISAW, OK 74955-4617
(918) 775-7751
(918) 775-7932
Mailing address
103 N WHEELER AVE, SALLISAW, OK 74955-4617
(918) 775-7751
(918) 775-7932
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
RC6801-6801
OK
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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