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Organization
ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.
Active
Organization
ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY S. KITTRELL (EXECUTIVE DIRECTOR)
(580) 223-6226
Entity
Organization
Contact information
Practice address
1902 SHENANDOAH DR, ARDMORE, OK 73401-1217
(580) 223-6226
Mailing address
1902 SHENANDOAH DR, ARDMORE, OK 73401-1217
(580) 223-6226
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
DC1001-1001
OK
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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