NPI 1770007908

Rest Haven Management INC. Foursee '4c'

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

Practice location

Address: 368015 Old Highway 62, Boley, OK 74829-2914
Phone: (918) 667-3372

Authorised official

Name: Enetrice Renne Myers
Title: Executor/Business Operation Manager
Phone: (317) 919-2923

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: 1770007908
Entity type: Organization
NPI issued: 30 Jul 2017
Record last updated: 21 Jul 2022

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.