Sheltered Work Activity Program Inc in Muskogee - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Sheltered Work Activity Program Inc - NPI 1023265394
Sheltered Work Activity Program Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Muskogee, Oklahoma. Sheltered Work Activity Program Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Sheltered Work Activity Program Inc is 1023265394. The last update date is 2008-08-19.
Sheltered Work Activity Program Inc's current location address is 210 E Okmulgee St, Muskogee, Oklahoma. You can contact this provider via phone number 9186838162. The mailing address for Sheltered Work Activity Program Inc is 210 E Okmulgee St, Muskogee, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sheltered Work Activity Program Inc |
|---|---|
| Address | 210 E Okmulgee St, Muskogee, Oklahoma |
| Phone Number | 9186838162 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Breen B Edward |
| Credentials | PHD |
| Telephone Number | 9186838162 |
NPI Number Detail
| NPI Number | 1023265394 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 210 E Okmulgee St |
|---|---|
| City | Muskogee |
| State | Oklahoma (OK) |
| Post Code | 744035453 |
| Phone Number | 9186838162 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100682680K | OK | -- |
Post Comment/ Review Below
What is the Sheltered Work Activity Program Inc's 1023265394?
The Sheltered Work Activity Program Inc's NPI (National Provider Identifier) Number is 1023265394. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sheltered Work Activity Program Inc?
The Sheltered Work Activity Program Inc is situated at 210 E Okmulgee St, in the city of Muskogee, state of OK, with the zip code 744035453.
What is the Sheltered Work Activity Program Inc's specialty and taxonomy code?
The Sheltered Work Activity Program Inc's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
When did Sheltered Work Activity Program Inc receive its 1023265394 assignment?
The Sheltered Work Activity Program Inc was assigned its 1023265394 on 2008-08-19, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Sheltered Work Activity Program Inc most recently updated or revised?
The information pertaining to Sheltered Work Activity Program Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-19.