Organization
FRETZPARK HOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SILLA (CEO)
(405) 521-8232
Entity
Organization
Contact information
Practice address
4232 N SANTA FE AVE, OKLAHOMA CITY, OK 73118-8517
(405) 521-8232
(405) 521-8803
Mailing address
4232 N SANTA FE AVE, OKLAHOMA CITY, OK 73118-8517
(405) 521-8233
(405) 521-8803
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110980
—
OK
Enumeration date
03/03/2021
Last updated
03/03/2021
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