# GARVIN COUNTY COMMUNITY LIVING CENTER, INC

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

## Provider details

- **NPI number:** 1235583584
- **Authorized official:** CATHY CASH (CEO)
- **Authorized official phone:** (405) 238-3773

## Contact information

- **Practice address:** 421 N CHERRY ST, PAULS VALLEY, OK 73075-2607
- **Practice address phone:** (405) 238-3773
- **Practice address fax:** (405) 238-7730
- **Mailing address:** PO BOX 1119, 1800 ENTERPRISE BLVD, PAULS VALLEY, OK 73075-1119
- **Mailing address phone:** (405) 238-3773
- **Mailing address fax:** (405) 238-7730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2016
- **Last updated:** 04/22/2016