| NPI | 1831336189 |
|---|---|
| Doing Business As | SANDRA J. RIDGEWAY |
| Entity Type | Organization |
| Authorized Contact | SANDRA J RIDGEWAY Owner/Director 405-238-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |