institution
Oak Place Living Center, Llc
Intellectual Disabilities Intermediate Care Facility in Wetumka, Oklahoma
NPI 1114002987

Oak Place Living Center, Llc is a Intellectual Disabilities Intermediate Care Facility based in Weleetka, OK. Oak Place Living Center, Llc practices in Wetumka, OK. The NPI Number for Oak Place Living Center, Llc is 1114002987 and holds a License No. NH3213-3213 (Oklahoma).

The current practice location address for Oak Place Living Center, Llc is 201 E 2Nd St, Wetumka, OK and can be reached out via phone at 405-452-3271 and via fax at 405-452-5154.

Location: 201 E 2Nd St, Wetumka, OK, 74880-0488
institution
Provider Profile Details
NPI Number
1114002987
Provider Name
Oak Place Living Center, Llc
Credential
Provider Entity Type
Organization
Address
201 E 2Nd St, Wetumka, OK, 74880-0488
Phone Number
405-452-3271
Fax Number
405-452-5154
Provider Enumeration Date
10/27/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
200104640A 05 OK
institution
Provider Business Practice Location Address Details
Address
201 E 2Nd St
City
State
Zip
74883-6040
Phone Number
405-452-3271
Fax Number
405-452-5154
person
Provider Business Mailing Address Details
Address
201 E 2Nd St
City
State
Zip
74883-6040
Phone Number
405-452-3271
Fax Number
405-452-5154
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
NH3213-3213 (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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