PARKER PLACE HOME 2 LLC. NPI 1194478941

NPI Information

PARKER PLACE HOME 2, LLC. is an intermediate care facility mentally retarded in Lawton, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PARKER PLACE HOME 2, LLC. NPI is 1194478941. The provider is registered as an organization entity type.

The provider's business location address is:

7514 NW SUN BLVD.
LAWTON, OK
ZIP 73505
Phone: (940) 337-6777

The provider's authorized official is Sally Heather Clement .
The authorized official title is Owner/administrator and has the following contact phone number (940) 337-6777.

The CLIA number assigned to this NPI record is 37D2276568 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.

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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