NPI 1093891681

New Frontiers Icfmr

Organisation Intellectual Disabilities Intermediate Care Facility Bethany, OK

Practice location

Address: 6814 NW 50th St, Bethany, OK 73008-2535
Phone: (405) 789-2262
Mailing address: 1400 N Council Rd, Oklahoma City, OK 73127-4918

Authorised official

Name: Don Moore
Title: Director
Phone: (405) 789-2262

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH5574 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1093891681
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 22 Aug 2020

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.