Organization
HIGH CEDAR RES. CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIE FAYE HENDERSON (ADMINISTRATOR OWNER)
(405) 447-2532
Entity
Organization
Contact information
Practice address
18601 CEDAR LN, NOBLE, OK 73068-5915
(405) 447-2532
Mailing address
18601 CEDAR LN, NOBLE, OK 73068-5915
(405) 447-2532
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
RC1404-1404
OK
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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