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FRETZPARK HOMES INC NPI 1093300980


NPI Information

NPI: 1093300980
Provider Name: FRETZPARK HOMES, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
4232 N SANTA FE AVE
OKLAHOMA CITY, OK
ZIP 73118
Phone: (405) 521-8232
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FRETZPARK HOMES, INC is a day training developmentally disabled services in Oklahoma City, OK. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. FRETZPARK HOMES, INC NPI is 1093300980. The provider is registered as an organization entity type.

The provider's business location address is:

4232 N SANTA FE AVE
OKLAHOMA CITY, OK
ZIP 73118-517
Phone: (405) 521-8232
Fax: (405) 521-8803

The provider's authorized official is Kelly Silla .
The authorized official title is Ceo and has the following contact phone number (405) 521-8232.

The enumeration date for this NPI number is 3/3/2021 and was last updated on 3/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200110980MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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