Organization · Type 2 NPI

Oak Place Living Center, LLC

Intellectual Disabilities Intermediate Care Facility · Wetumka, OK

NPI number 1114002987 Active

Practice location

201 E 2nd St
Wetumka, OK 74883-6040

Fax (405) 452-5154

Mailing address

PO Box 488
Weleetka, OK 74880-0488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNH3213-3213 (OK)

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

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About NPI 1114002987

Oak Place Living Center, LLC's National Provider Identifier is 1114002987, issued on Oct 27, 2006. 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 Jan 12, 2023.