Organization · Type 2 NPI
Aspen Place Living Center, LLC
Intellectual Disabilities Intermediate Care Facility · Weleetka, OK
NPI number
1104908342
Active
Practice location
202 E First St
Weleetka, OK 74883
Fax (405) 452-5154
Mailing address
PO Box 488
Weleetka, OK 74880-0488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | NH3209-3209 (OK) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1104908342
Aspen Place Living Center, LLC's National Provider Identifier is 1104908342, issued on Oct 19, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Weleetka, OK. The record was last updated on Aug 22, 2020.