Senior Village Nursing Home

NPI #1336132539 in Blanchard, Oklahoma

Provider Information

NPI Number
1336132539
Entity Type
Organization
Organization Name
Senior Village Nursing Home
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Aug 24, 2005
Last Updated
Jul 1, 2008

Practice Location

Address
1104 N MADISON AVE
ZIP Code
73010-6504
Phone
(405) 485-3315

Authorized Official

Name
MR. BOBBY VERNON SIMMONS, D.PH
Title
MANAGER
Phone
(405) 360-2562

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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Provider Name
Central Oklahoma United Methodist Retirement Facility INC

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