Organization
VIA CHRISTI VILLAGE PONCA CITY INC
Active
Other names
Ascension Living Via Christi Village Ponca City
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (CEO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
(580) 762-0933
Mailing address
1601 ACADEMY RD, PONCA CITY, OK 74604-4409
(580) 762-0927
(580) 762-0933
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
100775130A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100775130A
—
OK
Enumeration date
04/10/2007
Last updated
06/23/2025
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