Meadow Brook Icfmr

NPI #1902966112 in Howe, Oklahoma

Provider Information

NPI Number: 1902966112
Entity Type: Organization
Organization Name: Meadow Brook Icfmr
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Dec 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1200 MEADOW LANE
City: Howe
State: Oklahoma
ZIP Code: 74940
Phone: (918) 658-3656

Authorized Official

Name: MS. TABITHA SUE BUNDY
Title: ADMINISTRATOR
Phone: (918) 658-3656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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