Golden Villa Center Inc

NPI 1053528026 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1053528026
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MELISSA JO MELISSA
Position DIRECTOR
Phone (580) 762-0264
Fax (580) 762-0420
Practice Location
1722 N 4TH ST
STE B
PONCA CITY OK, 74601, US
Phone (580) 762-0264
Fax (580) 762-0420
Business Location
1722 N 4TH ST
STE B
PONCA CITY OK, 74601, US
Phone (580) 762-0264
Fax (580) 762-0420
Toxanomy
Taxonomy Code 251C00000X
License State
License Number
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According to our database, Golden Villa Center Inc NPI is 1053528026, taxonomy code is 251C00000X Golden Villa Center Inc physically located at 1722 N 4th St, Ponca City OK, 74601. NPI Number 1033115704 has the healthcare provider type.

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1053528026 NPI number is provided on an as is basis without warranty of any kind. 1053528026 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Villa Center Inc are for informational purposes only.