Evergreen Ok Companion Support is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, OK. Evergreen Ok Companion Support practices in Oklahoma City, OK. The NPI Number for Evergreen Ok Companion Support is 1740308857 and holds a License No. (Oklahoma).
The current practice location address for Evergreen Ok Companion 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.
Identifier | Type | State | Issuer |
---|---|---|---|
100645750G-G620 | 05 | OK |
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