NPI 1164684957

Meadow Brook Icf/Mr #2

Organisation Mental Illness Intermediate Care Facility Howe, OK

Practice location

Address: 1500 Meadow Lane, Howe, OK 74940
Phone: (918) 658-3656
Fax: (918) 658-3967

Authorised official

Name: Tabitha Bundy
Title: Administrator
Phone: (918) 658-3656

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence NH4004-4004 (OK)

Other Intermediate Care Facility, Mental Illness providers in Oklahoma →

Registry record

NPI: 1164684957
Entity type: Organization
NPI issued: 2 Jul 2008
Record last updated: 2 Jul 2008

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.