| NPI | 1043834849 |
|---|---|
| Doing Business As | PADDINGTON PLACE COTTAGES 1-4 |
| Entity Type | Organization |
| Authorized Contact | SCOTT D PILGRIM Managing Member 405-285-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2024-08-15 |