Organization · Type 2 NPI

Oklahoma Homes for the Developmentally Disabled, LLC

Intellectual Disabilities Intermediate Care Facility · Enid, OK

NPI number 1720744808 Active

Practice location

4621 Spring Ridge Rd
Enid, OK 73703-6006

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 1558025916

Other intellectual disabilities intermediate care facility providers in Enid

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NPI record

NPI: 1720744808
Entity type: Organization (Type 2)
Issued: Nov 12, 2021
Last updated: Nov 12, 2021
Status: Active
Subpart: Yes of Oklahoma Homes for the Developmentally Disabled, LLC

Other names

Britni's Bungalow · doing business as

Authorized official

Consuela Dolezal
Administrator
(580) 725-3533

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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.

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About NPI 1720744808

Oklahoma Homes for the Developmentally Disabled, LLC's National Provider Identifier is 1720744808, issued on Nov 12, 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 Nov 12, 2021.