Provider Demographics
NPI:1043654387
Name:TECUMSEH OPERATIONS. LLC
Entity Type:Organization
Organization Name:TECUMSEH OPERATIONS. LLC
Other - Org Name:SUNSET ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEROIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:405-943-1144
Mailing Address - Street 1:201 W WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-1827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:405-273-6769
Practice Address - Street 1:201 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:OK
Practice Address - Zip Code:74873-1827
Practice Address - Country:US
Practice Address - Phone:405-598-2167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility