Provider Demographics
NPI:1932324639
Name:GREAT PLAINS IMPROVEMENT FOUNDATION, INC.
Entity Type:Organization
Organization Name:GREAT PLAINS IMPROVEMENT FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ODELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-353-2364
Mailing Address - Street 1:PO BOX 926
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73502-0926
Mailing Address - Country:US
Mailing Address - Phone:580-353-2364
Mailing Address - Fax:580-353-1952
Practice Address - Street 1:#2 SE LEE BOULEVARD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-2469
Practice Address - Country:US
Practice Address - Phone:580-353-2364
Practice Address - Fax:580-353-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities