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Phoenix Residential Services
Child Intellectual and/or Developmental Disabilities Respite Care in Sand Springs, Oklahoma
NPI 1558461657

Phoenix Residential Services is a Child Intellectual and/or Developmental Disabilities Respite Care based in Sand Springs, OK and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Phoenix Residential Services practices in Sand Springs, OK. The NPI Number for Phoenix Residential Services is 1558461657 and holds a License No. 7960 (Oklahoma).

The current practice location address for Phoenix Residential Services is 20 W 2Nd St, Sand Springs, OK and can be reached out via phone at 918-245-1884 and via fax at 918-245-0749.

Location: 20 W 2Nd St, Sand Springs, OK, 74063-7633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558461657
Provider Name
Phoenix Residential Services
Credential
Provider Entity Type
Organization
Address
20 W 2Nd St, Sand Springs, OK, 74063-7633
Phone Number
918-245-1884
Fax Number
918-245-0749
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200045930 D 05 OK
200045930 B 05 OK
200045930 F 05 OK
200045930 G 05 OK
200045930 E 05 OK
200045930 A 05 OK
200045930 C 05 OK
institution
Provider Business Practice Location Address Details
Address
20 W 2Nd St
City
Sand Springs
State
Oklahoma
Zip
74063-7633
Phone Number
918-245-1884
Fax Number
918-245-0749
person
Provider Business Mailing Address Details
Address
20 W 2Nd St
City
Sand Springs
State
Oklahoma
Zip
74063-7633
Phone Number
918-245-1884
Fax Number
918-245-0749
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
200045930 (Oklahoma)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
7960 (Oklahoma)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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