Organization
ROOSEVELT FAMILY CARE & LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROOSEVELT GRANDERSON (PRESIDENT)
(601) 331-4463
Entity
Organization
Contact information
Practice address
1120 N EASTERN AVE STE 108, MOORE, OK 73160-5856
(601) 331-4463
Mailing address
1120 N EASTERN AVE STE 108, MOORE, OK 73160-5856
(601) 331-4463
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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