Willow Place Living Center, Llc - Wetumka, OK

Willow Place Living Center, Llc

Intellectual Disabilities Intermediate Care Facility in Wetumka, Oklahoma

NPI 1366524423

Willow Place Living Center, Llc is a Intellectual Disabilities Intermediate Care Facility based in Weleetka, OK. Willow Place Living Center, Llc practices in Wetumka, OK. The NPI Number for Willow Place Living Center, Llc is 1366524423 and holds a License No. NH3203-3203 (Oklahoma).

The current practice location address for Willow Place Living Center, Llc is 622 S Alabama St, Wetumka, OK and can be reached out via phone at 405-452-3278 and via fax at 405-452-5154.

Location: 622 S Alabama St, Wetumka, OK, 74880-0488

NPI Number

1366524423

Provider Name

Willow Place Living Center, Llc

Credential

Provider Entity Type

Organization

Address

622 S Alabama St, Wetumka, OK, 74880-0488

Phone Number

405-452-3278

Fax Number

405-452-5154

Provider Enumeration Date

10/19/2006

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
200106050A	05	OK

Address

622 S Alabama St

City

Wetumka

State

Oklahoma

Zip

74883

Phone Number

405-452-3278

Fax Number

405-452-5154

Address

622 S Alabama St

City

Wetumka

State

Oklahoma

Zip

74883

Phone Number

405-452-3278

Fax Number

405-452-5154

Type

Nursing & Custodial Care Facilities

Classification

Intermediate Care Facility, Mentally Retarded

Speciality

Taxonomy

315P00000X

License No.

NH3203-3203 (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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