# BKD BRADFORD VILLAGE OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradford Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992104293
- **Authorized official:** MARK OHLENDORF (CFO)
- **Authorized official phone:** (414) 918-5000

## Contact information

- **Practice address:** 906 N BOULEVARD, EDMOND, OK 73034-3655
- **Practice address phone:** (405) 341-0810
- **Mailing address:** 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI 53214-5647

## Taxonomy

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

## Other

- **Enumeration date:** 08/22/2014
- **Last updated:** 11/18/2014
