Whalio Doctors

NPI 1205905585

New Frontiers Icfmr

Organisation Intellectual Disabilities Intermediate Care Facility Oklahoma City, OK

Practice location

Address
1101 N Bradley Ave, Oklahoma City, OK 73127-4122
Phone
(405) 789-2262
Mailing address
1400 N Council Rd, Oklahoma City, OK 73127-4918

Authorised official

Name
Donald Moore
Title
Executive Director
Phone
(405) 789-2262

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH5567 (OK)

Registry record

NPI
1205905585
Entity type
Organization
NPI issued
8 Nov 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.