NPI | 1003036609 |
---|---|
Other Name | THE REACH CORPORATION-NAME TO BE CHANGED TO |
Doing Business As | CREEK PLACE |
Entity Type | Organization |
Authorized Contact | LAILA BEAVEN Registered Agent 270-389-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK 100770750A) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2022-12-21 |