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Organization
HIGH CEDAR RESIDENTIAL CARE
Active
Organization
HIGH CEDAR RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIE FAYE HENDERSON (ADMINISTRATOR)
(405) 447-2532
Entity
Organization
Contact information
Practice address
18601 CEDAR LN, NOBLE, OK 73068-5915
(405) 447-2532
(405) 447-0878
Mailing address
18601 CEDAR LN, NOBLE, OK 73068-5915
(405) 447-2532
(405) 447-0878
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RC1401-1401
OK
3104A0625X
Assisted Living Facility (Mental Illness)
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Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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