Evergreen Ok Daily Living Support in Oklahoma City - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Evergreen Ok Daily Living Support - NPI 1467570051
Evergreen Ok Daily Living Support is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Oklahoma City, Oklahoma. Evergreen Ok Daily Living Support practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Evergreen Ok Daily Living Support is 1467570051. The last update date is 2020-08-22.
Evergreen Ok Daily Living Support's current location address is 7725 W Britton Rd, Oklahoma City, Oklahoma. You can contact this provider via phone number 4057201192 and fax number 4057201193. The mailing address for Evergreen Ok Daily Living Support is 7725 W Britton Rd, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Ok Daily Living Support |
|---|---|
| Address | 7725 W Britton Rd, Oklahoma City, Oklahoma |
| Phone Number | 4057201192 |
| Fax Number | 4057201193 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Taylor R John |
| Telephone Number | 3187428440 |
NPI Number Detail
| NPI Number | 1467570051 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7725 W Britton Rd |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731321507 |
| Phone Number | 4057201192 |
| Fax Number | 4057201193 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100645750H-G820 | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Ok Daily Living Support?
The Evergreen Ok Daily Living Support has been issued the NPI (National Provider Identifier) 1467570051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Evergreen Ok Daily Living Support's physical address?
The Evergreen Ok Daily Living Support is physically located at 7725 W Britton Rd, in the city of Oklahoma City, OK, with the postal code 731321507.
What is Evergreen Ok Daily Living Support's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen Ok Daily Living Support is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date was the 1467570051 assigned to Evergreen Ok Daily Living Support?
The Evergreen Ok Daily Living Support was issued its 1467570051 on 2007-03-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Evergreen Ok Daily Living Support most recently updated or revised?
The details related to Evergreen Ok Daily Living Support, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.