# ARVID LADE MD PLC

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

## Provider details

- **NPI number:** 1861845125
- **Authorized official:** DR. ARVID LADE M.D. (MANAGER)
- **Authorized official phone:** (918) 809-7042

## Contact information

- **Practice address:** 6620 E 117TH ST S, BIXBY, OK 74008-8204
- **Practice address phone:** (918) 630-7600
- **Mailing address:** 6620 E 117TH ST S, BIXBY, OK 74008-8204
- **Mailing address phone:** (918) 630-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | — | — | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | — | — |
| 311ZA0620X | Adult Care Home Facility | — | — | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | — | — |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/29/2016