Organization
LAKE FRANCIS RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVETTA MCINTOSH (CEO)
(918) 457-4221
Entity
Organization
Contact information
Practice address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 422-9907
(918) 457-5540
Mailing address
27753 S WELLING RD, WELLING, OK 74471-2202
(918) 457-4221
(918) 457-5540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
OK
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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