Organization · Type 2 NPI
State of Oklahoma Dept. of Human Services
Intellectual Disabilities Intermediate Care Facility · Pauls Valley, OK
NPI number
1295828895
Active
Practice location
Rt. 1 Box 44-A
Pauls Valley, OK 73075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1295828895
State of Oklahoma Dept. of Human Services's National Provider Identifier is 1295828895, issued on Oct 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pauls Valley, OK. The record was last updated on Aug 22, 2020.