Organization
VILLAGE BA OPERATIONS LLC
Active
Other names
Village Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PILGRIM (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
1709 S MAIN ST, BROKEN ARROW, OK 74012-6502
(405) 285-8166
Mailing address
PO BOX 990, EDMOND, OK 73083-0990
(405) 285-8166
(405) 563-9447
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/29/2020
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