PADDINGTON PLACE LCC NPI 1043834849

NPI Information

PADDINGTON PLACE LCC is an intermediate care facility mental illness in Edmond, OK. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PADDINGTON PLACE LCC NPI is 1043834849. The provider is registered as an organization entity type.

The provider's business location address is:

3225 FRENCH PARK DRIVE
SUITE 6
EDMOND, OK
ZIP 73034
Phone: (405) 285-8166

The provider's authorized official is Scott Pilgrim .
The authorized official title is Managing Member and has the following contact phone number (405) 285-8166.

The CLIA number assigned to this NPI record is 37D2218921 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2020 and was last updated on 6/8/2020.

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:

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