# HERITAGE VILLA HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1831873769
- **Authorized official:** NAFTALI FRIEDMAN (MANAGER)
- **Authorized official phone:** (314) 631-3000

## Contact information

- **Practice address:** 1244 WOODLAND LOOP, BARTLESVILLE, OK 74006-5224
- **Practice address phone:** (918) 335-3222
- **Mailing address:** 477 N LINDBERGH BLVD STE 310, SAINT LOUIS, MO 63141-7856
- **Mailing address phone:** (314) 631-3000

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2023
- **Last updated:** 06/12/2023