OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC is an intermediate care facility mentally retarded in Garber, OK. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC NPI is 1588179600. The provider is registered as an organization entity type. The provider Is Doing Business As Mattox Hall.
The provider's business location address is:
209 E GARBER RD GARBER, OK ZIP 73738-039 Phone: (580) 863-2200 Fax: (580) 863-2206
The provider's authorized official is Melissa Fruits . The authorized official title is Administrator and has the following contact phone number (580) 725-3400.
The CLIA number assigned to this NPI record is 37D2142285 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/12/2017 and was last updated on 10/25/2021.
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:
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: 3/30/2025
NPI Synchronization or Removal
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