NPI 1083550776

Pioneer Living Center Ops LLC

Organisation Intellectual Disabilities Intermediate Care Facility Wetumka, OK

Practice location

Address: 202 E 1st St, Wetumka, OK 74883-6041
Phone: (405) 452-3205
Mailing address: 1305 SE Adams St, Idabel, OK 74745-5240

Authorised official

Name: Kathy Suzette Baucom
Title: Regional Director
Phone: (479) 312-8280

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1083550776
Entity type: Organization
NPI issued: 27 Apr 2026
Record last updated: 27 Apr 2026

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.