Provider Demographics
NPI:1932322971
Name:DELAWARE COUNTY FRIENDSHIP HOMES INC
Entity Type:Organization
Organization Name:DELAWARE COUNTY FRIENDSHIP HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-253-6032
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:OK
Mailing Address - Zip Code:74346-0720
Mailing Address - Country:US
Mailing Address - Phone:918-253-6032
Mailing Address - Fax:918-253-4818
Practice Address - Street 1:1111 W CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:OK
Practice Address - Zip Code:74346-0720
Practice Address - Country:US
Practice Address - Phone:918-253-6032
Practice Address - Fax:918-253-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered347C00000XTransportation ServicesPrivate Vehicle
Not Answered372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty
Not Answered3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty