# ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.

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

## Provider details

- **NPI number:** 1477659324
- **Authorized official:** MR. STANLEY S. KITTRELL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (580) 223-6226

## Contact information

- **Practice address:** 1902 SHENANDOAH DR, ARDMORE, OK 73401-1217
- **Practice address phone:** (580) 223-6226
- **Mailing address:** 1902 SHENANDOAH DR, ARDMORE, OK 73401-1217
- **Mailing address phone:** (580) 223-6226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | DC1001-1001 | OK | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020