Organization · Type 2 NPI

Canly Blessed Group Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oklahoma City, OK

NPI number 1043197296 Active

Practice location

26 SW 104th St
Oklahoma City, OK 73139-9040

Call (405) 889-6273 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

3 other providers at this address

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About NPI 1043197296

Canly Blessed Group Home LLC's National Provider Identifier is 1043197296, issued on Aug 19, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 19, 2025.