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Organization

BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OKLAHOMA, INC

Active
Other names
Entrusted Hearts Private Services
Organization subpart
No

Provider details

NPI number
Authorized official
WENDELL SHORT (VP PLANNING & PROJECT MANAGEMENT)
(405) 942-3000
Entity
Organization

Contact information

Practice address
60 NW SHERIDAN RD, LAWTON, OK 73505-6338
(580) 355-2440
(580) 355-2384
Mailing address
300 JOHNNY BENCH DR STE 400, OKLAHOMA CITY, OK 73104-2470
(405) 724-2872
(405) 942-0018

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7796
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100810750D
OK
05
100810750E
OK
05
100810750G
OK
05
100810750H
OK
05
100810750J
OK
05
100810750K
OK
05
100810750L
OK
Enumeration date
03/17/2009
Last updated
09/11/2025
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