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Okmulgee Terrace, Llc
Intellectual Disabilities Intermediate Care Facility in Sallisaw, Oklahoma
NPI 1093816100

Okmulgee Terrace, Llc is a Intellectual Disabilities Intermediate Care Facility based in Sallisaw, OK. Okmulgee Terrace, Llc practices in Sallisaw, OK. The NPI Number for Okmulgee Terrace, Llc is 1093816100 and holds a License No. NH5607-5607 (Oklahoma).

The current practice location address for Okmulgee Terrace, Llc is 210 East Choctaw Street, Sallisaw, OK and can be reached out via phone at 918-775-4439 and via fax at 918-775-9242.

Location: 210 East Choctaw Street, Sallisaw, OK, 74955-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093816100
Provider Name
Okmulgee Terrace, Llc
Credential
Provider Entity Type
Organization
Address
210 East Choctaw Street, Sallisaw, OK, 74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
210 East Choctaw Street
City
Sallisaw
State
Oklahoma
Zip
74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
person
Provider Business Mailing Address Details
Address
210 East Choctaw Street
City
Sallisaw
State
Oklahoma
Zip
74955-0429
Phone Number
918-775-4439
Fax Number
918-775-9242
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
NH5607-5607 (Oklahoma)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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