NPI 1538299417

Sugar Mountain Retreat, INC.

Organisation Assisted Living Facility (Mental Illness) Welling, OK

Practice location

Address: 26403 S 581 Rd, Welling, OK 74471-2303
Phone: (918) 457-4221

Authorised official

Name: Davetta McIntosh
Title: Administrator
Phone: (918) 457-4221

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence RC 0201-0201 (OK)

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Registry record

NPI: 1538299417
Entity type: Organization
NPI issued: 7 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.