NPI | 1144505488 |
---|---|
Doing Business As | LIFE ADULT DAY CENTER |
Entity Type | Organization |
Authorized Contact | KRISTY A MOORMAN Executive Director 405-377-0978 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care (Licence: OK DC6001-6001) |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2011-10-19 |
Last Update Date | 2022-08-31 |