NPI 1255459392

Evergreen Ok Hts Support

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Oklahoma City, OK

Practice location

Address: 7725 W Britton Rd, Oklahoma City, OK 73132-1507
Phone: (405) 720-1192
Fax: (405) 720-1193
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: John R Taylor
Title: President
Phone: (318) 742-8440

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oklahoma →

Registry record

NPI: 1255459392
Entity type: Organization
NPI issued: 27 Mar 2007
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.