NPI | 1316257496 |
---|---|
Doing Business As | JACQUELYN HOUSE |
Entity Type | Organization |
Authorized Contact | REBECCA LYNNE INGRAM Chief Executive Officer 918-336-5928 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2010-10-07 |
Last Update Date | 2024-05-29 |