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NPI Code Detail

MEDICARE: SUNSET ESTATES OF PURCELL, INC

MEDICARE: SUNSET ESTATES OF PURCELL, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityNH4401-4401OK
2314000000XSkilled Nursing FacilityNH4401-4401OK

General Provider Information

NPI Number : 1619978301
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNSET ESTATES OF PURCELL, INC
Provider Business Mailing Address
First Line : PO BOX 800
Second Line :
City : PURCELL
State : OK
Zip : 73080-0800
Country : US
Telephone Number : 405-527-2122
Fax Number : 405-527-5706
Provider Business Practice Location Address
First Line : 915 N 7TH AVE
Second Line :
City : PURCELL
State : OK
Zip : 73080-2215
Country : US
Telephone Number : 405-527-2122
Fax Number : 405-527-5706
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. DEBBIE DENISE GANTZ
Credential :
Telephone Number : 405-527-2122
Provider Enumeration Date : 08/03/2005
Last Update Date : 09/11/2025

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Directions to “SUNSET ESTATES OF PURCELL, INC ” Practice Location

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