Santa Fe Residential Care Home

NPI #1114351541 in Vinita, Oklahoma

Provider Information

NPI Number
1114351541
Entity Type
Organization
Organization Name
Santa Fe Residential Care Home
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Aug 21, 2013
Last Updated
Aug 21, 2013

Practice Location

Address
618 E CANADIAN AVE
City
Vinita
ZIP Code
74301-3810
Phone
(918) 244-9876

Authorized Official

Name
VICKIE JEAN TIPTON
Title
OWNER/OPERATOR
Phone
(918) 244-9876

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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