Organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
Active
Parent organization
OKLAHOMA HOMES FOR THE DEVELOPMENTALLY DISABLED, LLC
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
4622 W SPRING RIDGE ROAD, ENID, OK 73703
(580) 234-8200
Mailing address
4622 W SPRING RIDGE ROAD, ENID, OK 73703
(580) 234-8200
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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