Organization
ARBOR VILLAGE NURSING, LLC
Active
Other names
Northside Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT PILGRIM (MEMBER)
(405) 285-8166
Entity
Organization
Contact information
Practice address
3325 FRENCH PARK DR, SUITE 6, EDMOND, OK 73034-7277
(405) 285-8166
(405) 563-9447
Mailing address
102 E LINE AVE, SAPULPA, OK 74066-2858
(918) 224-0833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH1902
OK
Other
Enumeration date
05/27/2014
Last updated
06/05/2020
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