Duncan Community Residence, INC

NPI #1215150537 in Duncan, Oklahoma

Provider Information

NPI Number: 1215150537
Entity Type: Organization
Organization Name: Duncan Community Residence, INC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Apr 11, 2007
Last Updated: Nov 16, 2009

Practice Location

Address: 1510 W MAIN ST
City: Duncan
State: Oklahoma
ZIP Code: 73533-4333
Phone: (580) 255-3926

Authorized Official

Name: MR. BRIAN D WOLFF
Title: ADMINISTRATOR
Phone: (580) 255-3926

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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