Conhold of Ponca LLC
NPI #1124326434 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1124326434
- Entity Type
- Organization
- Organization Name
- Conhold of Ponca LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 10, 2011
- Last Updated
- Mar 21, 2011
Practice Location
- Address
- 2024 TURNER ST
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74604-2732
- Phone
- (580) 765-3364
Authorized Official
- Name
- MR. JAMES FRANK SULLIVAN
- Title
- OWNER
- Phone
- (918) 774-9696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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