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Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Other names
Mattox Hall
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA FRUITS (ADMINISTRATOR)
(580) 725-3400
Entity
Organization
Contact information
Practice address
209 E GARBER RD, GARBER, OK 73738-1039
(580) 863-2200
(580) 863-2206
Mailing address
PO BOX 366, BILLINGS, OK 74630-0366
(580) 725-3400
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH2403-2403
OK
Other
Enumeration date
12/12/2017
Last updated
10/25/2021
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