Organization
BHCP HERITAGE VILLA OPCO, LLC
Active
Other names
Heritage Villa Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC DOLE (MANAGER)
(773) 645-9246
Entity
Organization
Contact information
Practice address
1244 WOODLAND LOOP, BARTLESVILLE, OK 74006-5224
(918) 335-3222
Mailing address
2045 W GRAND AVE STE B-34572, CHICAGO, IL 60612-1576
(773) 645-9246
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
10/29/2024
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