Legend at Jefferson's Garden

NPI #1982938072 in Edmond, Oklahoma

Provider Information

NPI Number: 1982938072
Entity Type: Organization
Organization Name: Legend at Jefferson's Garden
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Sep 23, 2009
Last Updated: Sep 23, 2009

Practice Location

Address: 15401 N PENNSYLVANIA AVE
City: Edmond
State: Oklahoma
ZIP Code: 73013
Phone: (405) 715-1717

Authorized Official

Name: MRS. NELDA RANDALL
Title: DIRECTOR
Phone: (405) 715-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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