National Provider Identifier Database

LEGEND AT JEFFERSONS GARDEN
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

LEGEND AT JEFFERSON'S GARDEN
15401 N PENNSYLVANIA AVE
EDMOND, OK73013
Phone: 405-715-1717
Fax: 405-715-9017
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for LEGEND AT JEFFERSON'S GARDEN

NPI Number 1982938072
Legal business name
LBN
LEGEND AT JEFFERSON'S GARDEN
Authorized official NELDA RANDALL - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/23/2009
Last updated 09/23/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: AL5517-5517

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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