202 Haley Inc.

NPI #1457620221 in Enid, Oklahoma

Provider Information

NPI Number
1457620221
Entity Type
Organization
Organization Name
202 Haley Inc.
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Dec 22, 2011
Last Updated
Dec 22, 2011

Practice Location

Address
2911 N GRAND ST
City
Enid
ZIP Code
73701-1320
Phone
(580) 242-3811

Authorized Official

Name
MRS. LISA MORRIS
Title
ADMINISTRATOR
Phone
(580) 242-3811

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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