NPI 1770536013
Oakridge Home, LLC
Practice location
- Address
- 210 E Choctaw Ave, Sallisaw, OK 74955-4604
- Phone
- (918) 775-4439
- Fax
- (918) 775-9242
- Mailing address
- PO Box 429, Sallisaw, OK 74955-0429
Authorised official
- Name
- Justin McGrew
- Title
- Business Management
- Phone
- (918) 775-4439
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1770536013
- Entity type
- Organization
- NPI issued
- 18 May 2006
- 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.