| NPI | 1578771879 |
|---|---|
| Doing Business As | INDIAN TERRITORY ADULT DAYS SERVICES |
| Entity Type | Organization |
| Authorized Contact | DENNIS LEE HENDRIX President 580-371-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: OK DC3501-3501) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |