OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED LLC NPI 1720744808

NPI Information

NPI: 1720744808
Provider Name: OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4621 SPRING RIDGE RD
ENID, OK
ZIP 73703
Phone: (580) 234-8200
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OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC is an intermediate care facility mentally retarded in Enid, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC NPI is 1720744808. The provider is registered as an organization entity type.

The provider's business location address is:

4621 SPRING RIDGE RD
ENID, OK
ZIP 73703-006
Phone: (580) 234-8200

The provider's authorized official is Consuela Dolezal .
The authorized official title is Administrator and has the following contact phone number (580) 725-3533.

The enumeration date for this NPI number is 11/12/2021 and was last updated on 11/12/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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

NPI Synchronization or Removal

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