Provider Demographics
NPI:1417171349
Name:SEARCHLIGHT CENTER, INC.
Entity Type:Organization
Organization Name:SEARCHLIGHT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-726-6635
Mailing Address - Street 1:902 S PARK RD
Mailing Address - Street 2:P.O. BOX 804
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-5423
Mailing Address - Country:US
Mailing Address - Phone:580-726-6635
Mailing Address - Fax:580-726-3878
Practice Address - Street 1:902 S PARK RD
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-5423
Practice Address - Country:US
Practice Address - Phone:580-726-6635
Practice Address - Fax:580-726-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services