Organization · Type 2 NPI

Pioneer Living Center Ops LLC

Intellectual Disabilities Intermediate Care Facility · Wetumka, OK

NPI number 1083550776 Active

Practice location

202 E 1st St
Wetumka, OK 74883-6041

Call (405) 452-3205 Map

Mailing address

1305 SE Adams St
Idabel, OK 74745-5240

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1083550776

Pioneer Living Center Ops LLC's National Provider Identifier is 1083550776, issued on Apr 27, 2026. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wetumka, OK. The record was last updated on Apr 27, 2026.