DUNGARVIN OKLAHOMA LLC NPI 1174698849

NPI Information

NPI: 1174698849
Provider Name: DUNGARVIN OKLAHOMA LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK
ZIP 73139
Phone: (405) 759-2611
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DUNGARVIN OKLAHOMA LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Oklahoma City, OK. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DUNGARVIN OKLAHOMA LLC NPI is 1174698849. The provider is registered as an organization entity type.

The provider's business location address is:

9210 S WESTERN AVE STE A-22
OKLAHOMA CITY, OK
ZIP 73139-982
Phone: (405) 759-2611
Fax: (405) 759-2650

The provider's authorized official is Lori Kress .
The authorized official title is Ceo and has the following contact phone number (651) 699-0206.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 4/27/2023.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		100631340F	OKLAHOMA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100631340F	OTHER	OKLAHOMA	OHCA PROVIDER ID

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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