Organization · Type 2 NPI
Jackie Fields Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Muskogee, OK
Practice location
2303 Pickens
Muskogee, OK 74402
Mailing address
Pob 1810 2303 Pickens
Muskigee, OK 74402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1578865317
Jackie Fields Foundation's National Provider Identifier is 1578865317, issued on Nov 30, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Muskogee, OK. The record was last updated on Nov 30, 2010.