Aspen Place Living Center, LLC

NPI #1104908342 in Weleetka, Oklahoma

Provider Information

NPI Number
1104908342
Entity Type
Organization
Organization Name
Aspen Place Living Center, LLC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Oct 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
202 E FIRST ST
ZIP Code
74883
Phone
(405) 452-3271

Authorized Official

Name
MRS. DONNA R SIMMONS
Title
OFFICE MANAGER
Phone
(405) 786-2266

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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