Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Parent organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Other names
Britni's Bungalow
Organization subpart
Yes
Provider details
NPI number
Legal business name
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Authorized official
CONSUELA DOLEZAL (ADMINISTRATOR)
(580) 725-3533
Entity
Organization
Contact information
Practice address
4621 SPRING RIDGE RD, ENID, OK 73703-6006
(580) 234-8200
Mailing address
4621 SPRING RIDGE RD, ENID, OK 73703-6006
(580) 234-8200
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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