; NPI #1578680633

Contact Information

LORI K FULLER

2262 COUNTY ROAD 3007
BARTLESVILLE, OK 74003-1304

Phone: 918-336-6616
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Residential Treatment Facility, Physical Disabilities	320700000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X

Indicates primary specialty

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NPI Profile & details for

NPI Number	`1578680633`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	03/23/2007
Last updated	09/11/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Residential Treatment Facility, Physical Disabilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for

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