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Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Parent organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Other names
Barry's Bunkhouse
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Authorized official
CONSUELA DOLEZAL (ADMINISTRATOR)
(580) 725-3533
Entity
Organization
Contact information
Practice address
4621 SPRING RIDGE RD, ENID, OK 73703-6006
(580) 234-8200
(580) 234-5078
Mailing address
4621 SPRING RIDGE RD, ENID, OK 73703-6006
(580) 234-8200
(580) 234-5078
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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