# BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Village of Owasso
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316934672
- **Authorized official:** MR. WENDELL SHORT (VP PLANNING & PROJECT MANAGEMENT)
- **Authorized official phone:** (405) 942-3800

## Contact information

- **Practice address:** 12600 E 73RD ST N, OWASSO, OK 74055-4017
- **Practice address phone:** (918) 272-2281
- **Practice address fax:** (918) 272-7520
- **Mailing address:** 12600 E 73RD ST N, OWASSO, OK 74055-4017
- **Mailing address phone:** (918) 272-2281
- **Mailing address fax:** (918) 272-7520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | CC7206-7206 | OK | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100810750B | — | OK |