Okmulgee Terrace, LLC
NPI #1093816100 in Sallisaw, Oklahoma
Provider Information
- NPI Number
- 1093816100
- Entity Type
- Organization
- Organization Name
- Okmulgee Terrace, LLC
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Sep 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. KEVIN DOUGLAS MORAN
- Title
- BUSINESS MANAGEMENT
- Phone
- (918) 775-4439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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