# VILLAGE HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558071621
- **Authorized official:** MR. COLTON MONTGOMERY (OWNER)
- **Authorized official phone:** (918) 251-2626

## Contact information

- **Practice address:** 1709 S MAIN ST, BROKEN ARROW, OK 74012-6502
- **Practice address phone:** (918) 251-2626
- **Mailing address:** PO BOX 668, GORE, OK 74435-0668

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2022
- **Last updated:** 01/20/2023
