Individual provider · Type 1 NPI
Ladrena Lavern Wisner
Adult Care Home Facility · Oklahoma City, OK
NPI number
1013825504
Active
Practice location
2437 SW 79th St
Oklahoma City, OK 73159-4905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Oklahoma City
About NPI 1013825504
Ladrena Lavern Wisner's National Provider Identifier is 1013825504, issued on Aug 28, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 28, 2026.