Fountain House Group Home, Inc.

NPI #1669698858 in Vinita, Oklahoma

Provider Information

NPI Number
1669698858
Entity Type
Organization
Organization Name
Fountain House Group Home, Inc.
Primary Specialty
Day Training, Developmentally Disabled Services
Enumeration Date
Apr 17, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
403 SOUTH SMITH
City
Vinita
ZIP Code
74301
Phone
(918) 256-8534

Authorized Official

Name
MS. DEBI SUFFICOOL
Title
DIRECTOR
Phone
(918) 256-8534

Specialties & Taxonomy Codes

Specialty
Day Training, Developmentally Disabled Services

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