Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Other names
Mattox Hall
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA FRUITS (ADMINISTRATOR)
(580) 725-3400
Entity
Organization
Contact information
Practice address
209 E GARBER RD, GARBER, OK 73738-1039
(580) 863-2200
(580) 863-2206
Mailing address
PO BOX 366, BILLINGS, OK 74630-0366
(580) 725-3400
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
NH2403-2403
OK
Other
Enumeration date
12/12/2017
Last updated
10/25/2021
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