Organization · Type 2 NPI

Oklahoma Homes for the Developmentally Disabled, LLC

Intellectual Disabilities Intermediate Care Facility · Enid, OK

NPI number 1558025916 Active

Practice location

4621 Spring Ridge Rd
Enid, OK 73703-6006

Call (580) 234-8200 Map

Fax (580) 234-5078

Other practice locations

209 E Garber Rd, Garber, OK 73738-1039 · (580) 863-2200

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.

Another provider at this address

Oklahoma Homes for the Developmentally Disabled, LLCIntellectual Disabilities Intermediate Care Facility Enid, OK NPI 1720744808

Other intellectual disabilities intermediate care facility providers in Enid

See all in Enid →

NPI record

NPI: 1558025916
Entity type: Organization (Type 2)
Issued: Oct 22, 2021
Last updated: Oct 22, 2021
Status: Active
Subpart: Yes of Oklahoma Homes for the Developmentally Disabled, LLC

Other names

<unavail>
Barry's Bunkhouse · doing business as

Authorized official

Consuela Dolezal
Administrator
(580) 725-3533

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1558025916

Oklahoma Homes for the Developmentally Disabled, LLC's National Provider Identifier is 1558025916, issued on Oct 22, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Enid, OK. The record was last updated on Oct 22, 2021.