LEGEND AT JEFFERSON'S GARDEN; NPI #1982938072

Contact Information

LEGEND AT JEFFERSON'S GARDEN

15401 N PENNSYLVANIA AVE
EDMOND, OK 73013

Phone: 405-715-1717
Fax: 405-715-9017
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Residential Treatment Facility, Physical Disabilities	320700000X

Indicates primary specialty

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NPI Profile & details for LEGEND AT JEFFERSON'S GARDEN

NPI Number 1982938072

LBN Legal business name LEGEND AT JEFFERSON'S GARDEN

Authorized official NELDA RANDALL - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/23/2009

Last updated 09/23/2009 - About 17 years ago

Identifiers

License #

AL5517-5517

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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LEGEND AT JEFFERSON'S GARDEN

Contact Information

Specialty

Residential Treatment Facility, Physical Disabilities

NPI Profile & details for LEGEND AT JEFFERSON'S GARDEN

Reviews for LEGEND AT JEFFERSON'S GARDEN