Organization
HERITAGE VILLAGE NURSING CENTER LLC
Active
Other names
Heritage Village Nursing Home, Heritage Village Nursing Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SIMMONS (LNHA)
(405) 380-6671
Entity
Organization
Contact information
Practice address
801 HIGHWAY 48, HOLDENVILLE, OK 74848-9792
(405) 379-6671
(405) 379-6674
Mailing address
801 HIGHWAY 48, HOLDENVILLE, OK 74848-9792
(405) 379-6671
(405) 379-6674
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH3205-3205
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111530A
—
OK
Enumeration date
10/13/2006
Last updated
09/19/2025
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