Organization
ST.JOHN VILLAS INC
Active
Other names
Franciscan Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEX ANDERSON (TREASURER, ST. JOHN VILLAS INC)
(918) 744-3072
Entity
Organization
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CC7202-7202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7202-7202
CONTINUUM OF CARE
OK
Enumeration date
11/16/2006
Last updated
04/30/2008
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