St John Villas INC
NPI #1073682662 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1073682662
- Entity Type
- Organization
- Organization Name
- St John Villas INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Feb 5, 2009
Practice Location
- Address
- 17110 E 51ST ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-9279
- Phone
- (918) 355-1596
Authorized Official
- Name
- LEX ANDERSON
- Title
- TREASURER, ST JOHN VILLA INC
- Phone
- (918) 744-3072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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