OAK PLACE LIVING CENTER LLC NPI 1114002987

NPI Information

OAK PLACE LIVING CENTER, LLC is an intermediate care facility mentally retarded in Wetumka, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OAK PLACE LIVING CENTER, LLC NPI is 1114002987. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Place.

The provider's business location address is:

201 E 2ND ST
WETUMKA, OK
ZIP 74883-040
Phone: (405) 452-3271
Fax: (405) 452-5154

The provider's authorized official is Donna R Simmons .
The authorized official title is Office Manager and has the following contact phone number (405) 380-6671.

The CLIA number assigned to this NPI record is 37D1035878 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 1/12/2023.

Taxonomy Codes

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