Organization
ABILITYWORKS OF OKLAHOMA, INC.
Active
Other names
Jacquelyn House
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LYNNE INGRAM MHR (CHIEF EXECUTIVE OFFICER)
(918) 336-5928
Entity
Organization
Contact information
Practice address
5120 JACQUELYN LN, BARTLESVILLE, OK 74006-7732
(918) 213-4045
(918) 213-4065
Mailing address
PO BOX 1422, BARTLESVILLE, OK 74005-1422
(918) 336-5928
(918) 337-2778
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
05/29/2024
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