Organization
FRANCISCAN VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL BUSH (CFO)
(405) 285-8166
Entity
Organization
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(405) 285-8166
Mailing address
3325 FRENCH PARK DR, SUITE 6, EDMOND, OK 73034-7277
(405) 285-8166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
CC7202
OK
Other
Enumeration date
04/27/2015
Last updated
05/29/2020
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