NPI 1043197296

Canly Blessed Group Home LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Oklahoma City, OK

Practice location

Address: 26 SW 104th St, Oklahoma City, OK 73139-9040
Phone: (405) 889-6273

Authorised official

Name: Lydia Bosungmeh Achirindalle
Title: Owner
Phone: (405) 889-6273

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oklahoma →

Registry record

NPI: 1043197296
Entity type: Organization
NPI issued: 19 Aug 2025
Record last updated: 19 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.