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Meadow Brook Icfmr
Intellectual Disabilities Intermediate Care Facility in Howe, Oklahoma
NPI 1902966112

Meadow Brook Icfmr is a Intellectual Disabilities Intermediate Care Facility based in Howe, OK. Meadow Brook Icfmr practices in Howe, OK. The NPI Number for Meadow Brook Icfmr is 1902966112 and holds a License No. (Oklahoma).

The current practice location address for Meadow Brook Icfmr is 1200 Meadow Lane, Howe, OK and can be reached out via phone at 918-658-3656 and via fax at 918-658-3967.

Location: 1200 Meadow Lane, Howe, OK, 74940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902966112
Provider Name
Meadow Brook Icfmr
Credential
Provider Entity Type
Organization
Address
1200 Meadow Lane, Howe, OK, 74940
Phone Number
918-658-3656
Fax Number
918-658-3967
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37G117 01 OK STATE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1200 Meadow Lane
City
Howe
State
Oklahoma
Zip
74940
Phone Number
918-658-3656
Fax Number
918-658-3967
person
Provider Business Mailing Address Details
Address
1200 Meadow Lane
City
Howe
State
Oklahoma
Zip
74940
Phone Number
918-658-3656
Fax Number
918-658-3967
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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