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Organization
ARBOR VILLAGE NURSING, LLC
Active
Organization
ARBOR VILLAGE NURSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R BUSH (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
310 W TAFT ST, SAPULPA, OK 74066-5437
(918) 224-6012
(918) 224-7739
Mailing address
2500 S BROADWAY, SUITE 230, EDMOND, OK 73013-4038
(405) 285-8166
(405) 285-8177
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH1903
OK
314000000X
Skilled Nursing Facility
Primary
NH1903
OK
Other
Enumeration date
01/13/2010
Last updated
06/05/2020
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