| Organization Name: | ST.JOHN VILLAS INC |
| NPI Number: | 1740353689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEX ANDERSON (TREASURER, ST. JOHN VILLAS INC) |
| Mailing Address: | 17110 E 51st St Broken Arrow |
| State: | OK US |
| Postal Code: | 740129279 |
| Phone Number: | 9183551596 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 04/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | CC7202-7202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |