NPI 1215150537

Duncan Community Residence, INC

Organisation Assisted Living Facility (Mental Illness) Duncan, OK

Practice location

Address: 1510 W Main St, Duncan, OK 73533-4333
Phone: (580) 255-3926
Fax: (580) 255-8877
Mailing address: PO Box 1474 1510 W. Main, Duncan, OK 73534-1474

Authorised official

Name: Brian D Wolff
Title: Administrator
Phone: (580) 255-3926

Registered specialties (2)

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence RC6901-6901 (OK)

Other Assisted Living Facility providers in Oklahoma →

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X Licence RC6901-6901 (OK)

Other Community Based Residential Treatment Facility, Mental Illness providers in Oklahoma →

Registry record

NPI: 1215150537
Entity type: Organization
NPI issued: 11 Apr 2007
Record last updated: 16 Nov 2009

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.