Organization
ST JOHN VILLAS INC
Active
Other names
Franciscan Villa
Organization subpart
No
Provider details
NPI number
Authorized official
LEX ANDERSON (TREASURER, ST JOHN VILLA INC)
(918) 744-3072
Entity
Organization
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
(918) 355-1788
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3072
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
CC7207
OK
314000000X
Skilled Nursing Facility
Primary
37-5525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100774850A
—
OK
Enumeration date
11/07/2006
Last updated
02/05/2009
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