Organization · Type 2 NPI
Oklahoma Production Center
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Tahlequah, OK
Practice location
216 West Ave.
Tahlequah, OK 74464
Fax (918) 456-1969
Mailing address
PO Box 774
Tahlequah, OK 74465-0774
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 1891042719
Oklahoma Production Center's National Provider Identifier is 1891042719, issued on Aug 9, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Tahlequah, OK. The record was last updated on Aug 9, 2012.