Organization · NPI-2

Fretzpark Homes, INC

Day Training, Developmentally Disabled Services · Oklahoma City, OK

NPI number1093300980
StatusActive
Last updated in NPPESMar 3, 2021

Details

NPI
1093300980
Entity type
Organization (NPI-2)
Legal business name
Fretzpark Homes, INC
Organization subpart
No
Enumeration date
Mar 3, 2021
Certification date
Mar 3, 2021
Last updated
Mar 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

4232 N Santa Fe Ave
Oklahoma City, OK 73118-8517

Phone 405-521-8232 · Fax 405-521-8803

Mailing address

4232 N Santa Fe Ave
Oklahoma City, OK 73118-8517

Phone 405-521-8233 · Fax 405-521-8803

Authorized official

Kelly Silla
Ceo
4055218232

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