Organization · Type 2 NPI
Legend at Jefferson's Garden
Physical Disabilities Residential Treatment Facility · Edmond, OK
NPI number
1982938072
Active
Practice location
15401 N Pennsylvania Ave
Edmond, OK 73013
Fax (405) 715-9017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | AL5517-5517 (OK) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1982938072
Legend at Jefferson's Garden's National Provider Identifier is 1982938072, issued on Sep 23, 2009. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Edmond, OK. The record was last updated on Sep 23, 2009.