NPI | 1922230341 |
---|---|
Doing Business As | FAYE'S PLACE |
Entity Type | Organization |
Authorized Contact | GEOFF MACHTOLFF Administrator 405-282-5775 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK NH4209) |
Enumeration Date | 2009-08-18 |
Last Update Date | 2011-09-08 |