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Organization
ST JOHN VILLAS INC
Active
Organization
ST JOHN VILLAS INC
Active
Other names
Franciscan Villa
Organization subpart
No
Provider details
NPI number
Authorized official
LEX ANDERSON (TREASURER, ST JOHN VILLA INC)
(918) 744-3072
Entity
Organization
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
(918) 355-1788
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3072
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
CC7207
OK
314000000X
Skilled Nursing Facility
Primary
37-5525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774850A
—
OK
Enumeration date
11/07/2006
Last updated
02/05/2009
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