# HIGH CEDAR RES. CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174730758
- **Authorized official:** MRS. LILLIE FAYE HENDERSON (ADMINISTRATOR OWNER)
- **Authorized official phone:** (405) 447-2532

## Contact information

- **Practice address:** 18601 CEDAR LN, NOBLE, OK 73068-5915
- **Practice address phone:** (405) 447-2532
- **Mailing address:** 18601 CEDAR LN, NOBLE, OK 73068-5915
- **Mailing address phone:** (405) 447-2532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | RC1404-1404 | OK | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020