Homestead Residential Care

NPI #1912111253 in Vinita, Oklahoma

Provider Information

NPI Number: 1912111253
Entity Type: Organization
Organization Name: Homestead Residential Care
Primary Specialty: Assisted Living Facility
Enumeration Date: May 9, 2007
Last Updated: Nov 20, 2009

Practice Location

Address: 35284 S 4440 RD
City: Vinita
State: Oklahoma
ZIP Code: 74301-7079
Phone: (918) 527-7462

Authorized Official

Name: MRS. DONNA KELLEY
Title: MEMBER
Phone: (918) 782-9969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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