Organization
ADA SENIOR CARE CENTER
Active
Other names
Ada Senior Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LEE MANSFIELD LLTCA (EXECUTIVE DIRECTOR)
(580) 332-2855
Entity
Organization
Contact information
Practice address
301 E KINGS RD, ADA, OK 74820-8369
(580) 332-2855
(580) 421-7805
Mailing address
301 E KINGS RD, ADA, OK 74820
(580) 332-2855
(580) 421-7805
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
DC6201-6201
OK
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100683820A
—
OK
Enumeration date
03/07/2007
Last updated
05/12/2023
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