| NPI | 1558025916 |
|---|---|
| Doing Business As | BARRY'S BUNKHOUSE |
| Entity Type | Organization |
| Authorized Contact | CONSUELA DOLEZAL Administrator 580-725-3533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |