Provider Demographics
NPI:1619179199
Name:EDMOND ASSOCIAITON OF RETARDED CITIZENS, INC.
Entity Type:Organization
Organization Name:EDMOND ASSOCIAITON OF RETARDED CITIZENS, INC.
Other - Org Name:EARC, INC. - TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-341-7132
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-0268
Mailing Address - Country:US
Mailing Address - Phone:405-341-7132
Mailing Address - Fax:
Practice Address - Street 1:10 E 9TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3911
Practice Address - Country:US
Practice Address - Phone:405-341-7132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle