institution
Evergreen Ok Hts Support
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oklahoma City, Oklahoma
NPI 1255459392

Evergreen Ok Hts Support is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, OK. Evergreen Ok Hts Support practices in Oklahoma City, OK. The NPI Number for Evergreen Ok Hts Support is 1255459392 and holds a License No. (Oklahoma).

The current practice location address for Evergreen Ok Hts Support is 7725 W Britton Rd, Oklahoma City, OK and can be reached out via phone at 405-720-1192 and via fax at 405-720-1193. You can also correspond with Evergreen Ok Hts Support through the mailing address at 2101 HIGHWAY 80, HAUGHTON, LA - 71037-9488 (mailing address contact number: 318-742-8440).

Location: 7725 W Britton Rd, Oklahoma City, OK, 71037-9488
institution
Provider Profile Details
NPI Number
1255459392
Provider Name
Evergreen Ok Hts Support
Credential
Provider Entity Type
Organization
Address
7725 W Britton Rd, Oklahoma City, OK, 71037-9488
Phone Number
405-720-1192
Fax Number
405-720-1193
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100645750C-G720 05 OK
institution
Provider Business Practice Location Address Details
Address
7725 W Britton Rd
City
State
Zip
73132-1507
Phone Number
405-720-1192
Fax Number
405-720-1193
person
Provider Business Mailing Address Details
Address
7725 W Britton Rd
City
State
Zip
73132-1507
Phone Number
405-720-1192
Fax Number
405-720-1193
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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