NPI 1467863928

Independent Nursing

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Moore, OK

Practice location

Address: 2113 NE 2nd St, Moore, OK 73160-8155
Phone: (405) 301-6806

Authorised official

Name: Josephine R Otoo
Title: President
Phone: (405) 301-6806

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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

Registry record

NPI: 1467863928
Entity type: Organization
NPI issued: 17 May 2014
Record last updated: 17 May 2014

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.