Organization · Type 2 NPI

Specialized Foster Home

Lodging Provider · Sallisaw, OK

NPI number 1093926149 Active

Practice location

RR 1 Box 112A
Sallisaw, OK 74955-9737

Fax (918) 775-2628

Specialties and licenses

TaxonomyCodeLicense
Lodging Provider Primary 177F00000XNone listed

Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

About NPI 1093926149

Specialized Foster Home's National Provider Identifier is 1093926149, issued on May 24, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Sallisaw, OK. The record was last updated on Aug 22, 2020.