Mid-Del Group Home, Inc.
NPI #1790884849 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1790884849
- Entity Type
- Organization
- Organization Name
- Mid-Del Group Home, Inc.
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1540 REPUBLIC CIR
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-7971
- Phone
- (405) 732-8568
Authorized Official
- Name
- MR. JAMES LAWRENCE RAY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (405) 732-8568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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