Organization
SEQUEL OF OKLAHOMA, LLC
Active
Other names
Rose Rock Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE E. BEDELL RN MS (EXECUTIVE DIRECTOR/DON)
(405) 417-3341
Entity
Organization
Contact information
Practice address
3301 N MARTIN LUTHER KING AVENUE, OKLAHOMA CITY, OK 73111-4216
(405) 548-1280
(405) 548-1299
Mailing address
3301 N MARTIN LUTHER KING AVENUE, OKLAHOMA CITY, OK 73111-4216
(405) 548-1280
(405) 548-1299
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
K850000367
OK
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200106860B
—
OK
Enumeration date
03/27/2007
Last updated
06/28/2012
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