institution
Evergreen Ok Ther. Leave & Vocational Support
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Oklahoma City, Oklahoma
NPI 1619095783

Evergreen Ok Ther. Leave & Vocational Support is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, OK. Evergreen Ok Ther. Leave & Vocational Support practices in Oklahoma City, OK. The NPI Number for Evergreen Ok Ther. Leave & Vocational Support is 1619095783 and holds a License No. (Oklahoma).

The current practice location address for Evergreen Ok Ther. Leave & Vocational 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 Ther. Leave & Vocational 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
1619095783
Provider Name
Evergreen Ok Ther. Leave & Vocational 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
100645750F-G520 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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