Organization
5TH STREET SNF OPERATIONS LLC
Active
Other names
Ballard Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RAMOS (MANAGER)
(580) 436-1414
Entity
Organization
Contact information
Practice address
201 W 5TH ST, ADA, OK 74820-3415
(580) 436-1414
Mailing address
10913 S RIVER FRONT PKWY STE 290, SOUTH JORDAN, UT 84095-3507
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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