City of Sapulpa

NPI #1164940029 in Broken Arrow, Oklahoma

Provider Information

NPI Number
1164940029
Entity Type
Organization
Organization Name
City of Sapulpa
Subpart
Yes (part of a larger organization)
Parent Organization
CITY OF SAPULPA
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 31, 2017
Last Updated
Aug 31, 2017

Practice Location

Address
17110 E 51ST ST
ZIP Code
74012-9279
Phone
(918) 355-1596

Authorized Official

Name
BILL BUSH
Title
CFO
Phone
(405) 285-8166

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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