Organization
VILLAGE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLTON MONTGOMERY (OWNER)
(918) 251-2626
Entity
Organization
Contact information
Practice address
1709 S MAIN ST, BROKEN ARROW, OK 74012-6502
(918) 251-2626
Mailing address
PO BOX 668, GORE, OK 74435-0668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
01/20/2023
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