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Legend At Jefferson's Garden
Physical Disabilities Residential Treatment Facility in Edmond, Oklahoma
NPI 1982938072

Legend At Jefferson's Garden is a Physical Disabilities Residential Treatment Facility based in Edmond, OK. Legend At Jefferson's Garden practices in Edmond, OK. The NPI Number for Legend At Jefferson's Garden is 1982938072 and holds a License No. AL5517-5517 (Oklahoma).

The current practice location address for Legend At Jefferson's Garden is 15401 N Pennsylvania Ave, Edmond, OK and can be reached out via phone at 405-715-1717 and via fax at 405-715-9017.

Location: 15401 N Pennsylvania Ave, Edmond, OK, 73013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982938072
Provider Name
Legend At Jefferson's Garden
Credential
Provider Entity Type
Organization
Address
15401 N Pennsylvania Ave, Edmond, OK, 73013
Phone Number
405-715-1717
Fax Number
405-715-9017
Provider Enumeration Date
09/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15401 N Pennsylvania Ave
City
Edmond
State
Oklahoma
Zip
73013
Phone Number
405-715-1717
Fax Number
405-715-9017
person
Provider Business Mailing Address Details
Address
15401 N Pennsylvania Ave
City
Edmond
State
Oklahoma
Zip
73013
Phone Number
405-715-1717
Fax Number
405-715-9017
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
AL5517-5517 (Oklahoma)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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