Organization
ADA RESIDENTIAL CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY SNIDER (ADMINISTRATOR)
(580) 332-7007
Entity
Organization
Contact information
Practice address
626 W 15TH ST, ADA, OK 74820-6259
(580) 332-7007
Mailing address
PO BOX 248, KONAWA, OK 74849-0248
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
RC6201-6201
OK
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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