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3c Old Fashion Boarding Home
Assisted Living Facility (Mental Illness) in Prague, Oklahoma
NPI 1124359047

3c Old Fashion Boarding Home is an Assisted Living Facility (Mental Illness) based in Prague, OK and is specialized in Assisted Living, Mental Illness. 3c Old Fashion Boarding Home practices in Prague, OK. The NPI Number for 3c Old Fashion Boarding Home is 1124359047 and holds a License No. (Oklahoma).

The current practice location address for 3c Old Fashion Boarding Home is 719 S Jim Thorpe Blvd, Prague, OK and can be reached out via phone at 405-567-2280 and via fax at 405-567-2280. You can also correspond with 3c Old Fashion Boarding Home through the mailing address at 719 S JIM THORPE BLVD, PRAGUE, OK - 74864-3505 (mailing address contact number: 405-567-2280).

Location: 719 S Jim Thorpe Blvd, Prague, OK, 74864-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124359047
Provider Name
3c Old Fashion Boarding Home
Credential
Provider Entity Type
Organization
Address
719 S Jim Thorpe Blvd, Prague, OK, 74864-3505
Phone Number
405-567-2280
Fax Number
405-567-2280
Provider Enumeration Date
01/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
719 S Jim Thorpe Blvd
City
Prague
State
Oklahoma
Zip
74864-3505
Phone Number
405-567-2280
Fax Number
405-567-2280
person
Provider Business Mailing Address Details
Address
719 S Jim Thorpe Blvd
City
Prague
State
Oklahoma
Zip
74864-3505
Phone Number
405-567-2280
Fax Number
405-567-2280
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
(Oklahoma)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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