Village Ba Operations LLC
NPI #1154944940 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1154944940
- Entity Type
- Organization
- Organization Name
- Village Ba Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 27, 2020
- Last Updated
- May 29, 2020
Practice Location
- Address
- 1709 S MAIN ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6502
- Phone
- (405) 285-8166
Authorized Official
- Name
- SCOTT PILGRIM
- Title
- MEMBER
- Phone
- (405) 285-8166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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