Organization
HV SNF OPS LLC
Active
Other names
Heartway at Heritage Village Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY SUZETTE BAUCOM (REGIONAL DIRECTOR)
(479) 312-8280
Entity
Organization
Contact information
Practice address
801 HIGHWAY 48, HOLDENVILLE, OK 74848-9792
(405) 379-6671
Mailing address
1305 SE ADAMS ST, IDABEL, OK 74745-5240
(580) 286-1065
(580) 286-3926
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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