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Organization
5TH STREET SNF OPERATIONS LLC
Active
Organization
5TH STREET SNF OPERATIONS LLC
Active
Other names
Ballard Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAMOS (MANAGER)
(580) 436-1414
Entity
Organization
Contact information
Practice address
201 W 5TH ST, ADA, OK 74820-3415
(580) 436-1414
Mailing address
10913 S RIVER FRONT PKWY STE 290, SOUTH JORDAN, UT 84095-3507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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