Organization
ST. JOHN VILLAS INC.
Active
Other names
Frances Streitel Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W PEARCE (ADMINISTRATOR)
(918) 371-2545
Entity
Organization
Contact information
Practice address
2300 W BROADWAY ST, COLLINSVILLE, OK 74021-1625
(918) 371-2545
(918) 371-2738
Mailing address
2300 WEST BROADWAY, COLLINSVILLE, OK 74021-1625
(918) 371-2545
(918) 371-2738
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
NH7207-7207
OK
314000000X
Skilled Nursing Facility
Primary
375504
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777580A
—
OK
Enumeration date
08/31/2006
Last updated
11/06/2009
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