Provider Demographics
NPI:1326194150
Name:OKLAHOMA ASSOCIATION FOR RETARDED CITIZENS CARTER COUNTY
Entity Type:Organization
Organization Name:OKLAHOMA ASSOCIATION FOR RETARDED CITIZENS CARTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-226-3580
Mailing Address - Street 1:108 3RD AVENUE SOUTH WEST
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-1944
Mailing Address - Country:US
Mailing Address - Phone:580-226-3580
Mailing Address - Fax:580-226-3458
Practice Address - Street 1:108 3RD AVENUE SOUTH WEST
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1944
Practice Address - Country:US
Practice Address - Phone:580-226-3580
Practice Address - Fax:580-226-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty