Organization
INCIPIENT CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID M DYER (PRESIDENT)
(405) 392-3690
Entity
Organization
Contact information
Practice address
776 S. SARA RD, TUTTLE, OK 73089-8648
(405) 392-3690
(405) 392-3293
Mailing address
776 S. SARA RD, TUTTLE, OK 73089-8648
(405) 392-3690
(405) 392-3293
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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