# VILLAGE BA OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154944940
- **Authorized official:** SCOTT PILGRIM (MEMBER)
- **Authorized official phone:** (405) 285-8166

## Contact information

- **Practice address:** 1709 S MAIN ST, BROKEN ARROW, OK 74012-6502
- **Practice address phone:** (405) 285-8166
- **Mailing address:** PO BOX 990, EDMOND, OK 73083-0990
- **Mailing address phone:** (405) 285-8166
- **Mailing address fax:** (405) 563-9447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 05/29/2020
