NPI 1366717647

Columbian Hall

Organisation Intellectual Disabilities Intermediate Care Facility Okarche, OK

Practice location

Address: 6th and Texas, Okarche, OK 73762-0245
Phone: (405) 263-4658
Fax: (405) 263-4718
Mailing address: PO Box 245, Okarche, OK 73762-0245

Authorised official

Name: Jim O'Brien
Title: Executive Director
Phone: (405) 263-4658

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence NH0911-0911 (OK)

Other Intermediate Care Facility, Intellectual Disabilities providers in Oklahoma →

Registry record

NPI: 1366717647
Entity type: Organization
NPI issued: 20 Mar 2012
Record last updated: 20 Mar 2012

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.