NPI 1790197747 · live from the CMS NPI Registry
Arbor Village Nursing, LLC
Skilled Nursing Facility in Edmond, OK. National Provider Identifier 1790197747, active.
NPI record
| NPI | 1790197747 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 3325 French Park Dr, Suite 6, Edmond, OK 73034 |
| Practice phone | 405-285-8166 |
| Mailing address | 102 E Line Ave, Sapulpa, OK 74066 |
| Enumerated | May 27, 2014 |
| Last updated | June 5, 2020 |
| Authorized official | Scott Pilgrim, Member |
| Other names | Northside Nursing Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | NH1902 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.