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1154944940
VILLAGE BA OPERATIONS LLC
BROKEN ARROW, OK
NPI
1154944940
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Entity Type
Organization
Authorized Contact
SCOTT PILGRIM
Member
405-285-8166
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2020-05-27
Last Update Date
2020-05-29
Business Address
VILLAGE BA OPERATIONS LLC
1709 S MAIN ST
BROKEN ARROW, OK 74012-6502
Phone number: 405-285-8166
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Mailing Address
VILLAGE BA OPERATIONS LLC
PO BOX 990
EDMOND, OK 73083-0990
Phone number: 405-285-8166
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