NPI 1992104293 · live from the CMS NPI Registry
Bkd Bradford Village Opco LLC
Skilled Nursing Facility in Edmond, OK. National Provider Identifier 1992104293, active.
NPI record
| NPI | 1992104293 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 906 N Boulevard, Edmond, OK 73034 |
| Practice phone | 405-341-0810 |
| Mailing address | 6737 W Washington St, Suite 2300, Milwaukee, WI 53214 |
| Enumerated | August 22, 2014 |
| Last updated | November 18, 2014 |
| Authorized official | Mark Ohlendorf, Cfo |
| Other names | Bradford Village |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.