St. John Villas Inc.
NPI #1356452908 in Collinsville, Oklahoma
Provider Information
- NPI Number
- 1356452908
- Entity Type
- Organization
- Organization Name
- St. John Villas Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Nov 6, 2009
Practice Location
- Address
- 2300 W BROADWAY ST
- City
- Collinsville
- State
- Oklahoma
- ZIP Code
- 74021-1625
- Phone
- (918) 371-2545
Authorized Official
- Name
- MR. DONALD W PEARCE
- Title
- ADMINISTRATOR
- Phone
- (918) 371-2545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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