CHISHOLM TRAIL RETIREMENT COMMUNITY NPI 1104151877

NPI Information

  • NPI: 1104151877
  • Provider Name: CHISHOLM TRAIL RETIREMENT COMMUNITY
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CHISHOLM TRAIL ASSISTED LIVING
  • Address: 625 CHISHOLM TRAIL PKWY
    DUNCAN, OK
    ZIP 73533
  • Phone: (580) 470-8600

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NPI Details

CHISHOLM TRAIL RETIREMENT COMMUNITY is an assisted living facility in Duncan, OK. The provider is 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. CHISHOLM TRAIL RETIREMENT COMMUNITY NPI is 1104151877. The provider is registered as an organization entity type.
The provider Is Doing Business As Chisholm Trail Assisted Living.

The provider's business location address is:

625 CHISHOLM TRAIL PKWY
DUNCAN, OK
ZIP 73533-205
Phone: (580) 470-8600

The provider's authorized official is Dustin Rex Cox .
The authorized official title is Owner and has the following contact phone number (580) 470-8600.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/13/2009.

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
1310400000XAssisted Living FacilityAL 6903-6903OKLAHOMAYes

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This page was last updated on: 11/21/2025

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