NPI 1740353689

St.John Villas INC

Organisation Assisted Living Facility Broken Arrow, OK

Practice location

Address: 17110 E 51st St, Broken Arrow, OK 74012-9279
Phone: (918) 355-1596
Mailing address: 1923 S Utica Ave, Tulsa, OK 74104-6520

Authorised official

Name: Lex Anderson
Title: Treasurer, St. John Villas INC
Phone: (918) 744-3072

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CC7202-7202 (OK)

Other Assisted Living Facility providers in Oklahoma →

Registry record

NPI: 1740353689
Entity type: Organization
NPI issued: 16 Nov 2006
Record last updated: 30 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.