Organization
GOLDEN VILLA CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA R HOCKENBURY (EXECUTIVE DIRECTOR)
(580) 762-0264
Entity
Organization
Contact information
Practice address
100 EAST HARTFORD AVE., PONCA CITY, OK 74601
(580) 762-0264
(580) 762-0420
Mailing address
100 EAST HARTFORD AVE., PONCA CITY, OK 74601
(580) 762-0264
(580) 762-0420
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
05/30/2023
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