Individual provider · Type 1 NPI
Nicola Dejesus
Adult Care Home Facility · Edmond, OK
NPI number
1497653596
Active
Practice location
16420 Village Common Dr
Edmond, OK 73013-3295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1497653596
Nicola Dejesus's National Provider Identifier is 1497653596, issued on Oct 28, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Edmond, OK. The record was last updated on Oct 28, 2026.