Organization · Type 2 NPI
3c Old Fashion Boarding Home
Assisted Living Facility (Mental Illness) · Prague, OK
Practice location
719 S Jim Thorpe Blvd, Nbu 1706
Prague, OK 74864-3505
Fax (405) 567-2280
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility (Mental Illness) Primary | 3104A0625X | None listed |
Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
About NPI 1124359047
3c Old Fashion Boarding Home's National Provider Identifier is 1124359047, issued on Jan 15, 2010. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Prague, OK. The record was last updated on Jan 15, 2010.