Organization · Type 2 NPI

Parker Place Home 2, Llc.

Intellectual Disabilities Intermediate Care Facility · Lawton, OK

NPI number 1194478941 Active

Practice location

7514 NW Sun Blvd.
Lawton, OK 73505

Mailing address

7510 NW Sun Blvd.
Lawton, OK 73505

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility 313M00000XNone listed
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 1194478941

Parker Place Home 2, Llc.'s National Provider Identifier is 1194478941, issued on Feb 1, 2022. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lawton, OK. The record was last updated on Feb 1, 2022.