Dungarvin Oklahoma Llc

NPI 1083789754 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1083789754
Enumeration Date 11/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID DAVID
Position CEO
Phone (405) 329-7830
Fax (405) 329-3047
Practice Location
125 TRIAD VILLAGE DR
NORMAN OK, 73071-2800, US
Phone (405) 329-7830
Fax (405) 329-3047
Business Location
690 CLEVELAND AVE S
SAINT PAUL MN, 55116-1319, US
Phone (651) 699-0206
Fax (651) 699-0799
Toxanomy
Taxonomy Code 320900000X
License State
License Number
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According to our database, Dungarvin Oklahoma Llc NPI is 1083789754, taxonomy code is 320900000X Dungarvin Oklahoma Llc physically located at 125 Triad Village Dr, Norman OK, 73071-2800. NPI Number 1033115704 has the healthcare provider type.

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1083789754 NPI number is provided on an as is basis without warranty of any kind. 1083789754 is maintained by the National Plan & Provider Enumeration System. The contents of Dungarvin Oklahoma Llc are for informational purposes only.