Rest Haven Management Inc. Foursee '4c'

NPI #1770007908 in Boley, Oklahoma

Provider Information

NPI Number: 1770007908
Entity Type: Organization
Organization Name: Rest Haven Management Inc. Foursee '4c'
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 30, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 368015 OLD HIGHWAY 62
City: Boley
State: Oklahoma
ZIP Code: 74829-2914
Phone: (918) 667-3372

Authorized Official

Name: ENETRICE RENNE MYERS, AS, BBA, MBA
Title: EXECUTOR/BUSINESS OPERATION MANAGER
Phone: (317) 919-2923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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