Organization
NORTHERN OKLAHOMA RESOURCE CENTER OF ENID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALLY E RANDALL (DIRECTOR)
(580) 548-2601
Entity
Organization
Contact information
Practice address
2600 E WILLOW RD, ENID, OK 73701-8715
(580) 548-2601
(580) 548-2600
Mailing address
2600 E WILLOW RD, ENID, OK 73701-8715
(580) 548-2601
(580) 548-2600
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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