National Provider Identifier Database

ADULT DAY SERVICES OF SOUTHERN OKLAHOMA INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.
1902 SHENANDOAH DR
ARDMORE, OK73401-1217
Phone: 580-223-6226
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.

NPI Number 1477659324
Legal business name
LBN
ADULT DAY SERVICES OF SOUTHERN OKLAHOMA, INC.
Authorized official STANLEY KITTRELL - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/16/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: DC1001-1001

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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