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Organization
SENIOR VILLAGE OPERATIONS LLC
Active
Organization
SENIOR VILLAGE OPERATIONS LLC
Active
Other names
Senior Village Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (VP OF RCM)
(405) 943-1144
Entity
Organization
Contact information
Practice address
1104 N MADISON AVE, BLANCHARD, OK 73010-6504
(405) 485-3315
Mailing address
4350 WILL ROGERS PKWY STE 300, OKLAHOMA CITY, OK 73108-1839
(405) 943-1144
(405) 639-2742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200754620A
—
OK
Enumeration date
03/01/2018
Last updated
09/30/2025
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