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Jackie Fields Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Muskogee, Oklahoma
NPI 1578865317

Jackie Fields Foundation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Muskigee, OK. Jackie Fields Foundation practices in Muskogee, OK. The NPI Number for Jackie Fields Foundation is 1578865317 and holds a License No. (Oklahoma).

The current practice location address for Jackie Fields Foundation is 2303 Pickens, Muskogee, OK and can be reached out via phone at 918-913-6017. You can also correspond with Jackie Fields Foundation through the mailing address at POB 1810 2303 PICKENS, MUSKIGEE, OK - 74402 (mailing address contact number: 918-913-6017).

Location: 2303 Pickens, Muskogee, OK, 74402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578865317
Provider Name
Jackie Fields Foundation
Credential
Provider Entity Type
Organization
Address
2303 Pickens, Muskogee, OK, 74402
Phone Number
918-913-6017
Fax Number
Provider Enumeration Date
11/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2303 Pickens
City
Muskogee
State
Oklahoma
Zip
74402
Phone Number
918-913-6017
Fax Number
person
Provider Business Mailing Address Details
Address
2303 Pickens
City
Muskogee
State
Oklahoma
Zip
74402
Phone Number
918-913-6017
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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