Organization · Type 2 NPI

Redwood Place Living Center

Intellectual Disabilities Intermediate Care Facility · Wetumka, OK

NPI number 1912092602 Active

Practice location

623 S Alabama St
Wetumka, OK 74883-6034

Call (405) 452-3271 Map

Fax (405) 452-5154

Mailing address

PO Box 488
Weleetka, OK 74880-0488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNH3211-3211 (OK)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1912092602

Redwood Place Living Center's National Provider Identifier is 1912092602, issued on Oct 4, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Wetumka, OK. The record was last updated on Aug 22, 2020.