Organization
SENIOR VILLAGE OPERATIONS LLC
Active
Other names
Senior Village Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY DEROIN (VP OF RCM)
(405) 943-1144
Entity
Organization
Contact information
Practice address
1104 N MADISON AVE, BLANCHARD, OK 73010-6504
(405) 485-3315
Mailing address
4350 WILL ROGERS PKWY STE 300, OKLAHOMA CITY, OK 73108-1839
(405) 943-1144
(405) 639-2742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200754620A
—
OK
Enumeration date
03/01/2018
Last updated
09/30/2025
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