3C Old Fashion Boarding Home
3C Old Fashion Boarding Home is an Assisted Living Facility (Mental Illness) in Prague, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.
- Licensed in
- OK
- In the registry since
- 2010
Practice location Address checks out
719 S Jim Thorpe Blvd Nbu 1706Prague, OK 74864-3505
Phone: (405) 567-2280
Fax: (405) 567-2280
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (Mental Illness) (primary) | Taxonomy 3104A0625X (OK) |
|---|
Record details
| NPI number | 1124359047 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jvon Cook — Owner · (405) 567-7677 |
| Other names | 3c Old Fashion Boarding Home |
| NPI enumerated | January 15, 2010 |
| Last updated in NPPES | January 15, 2010 |
| Mailing address | 719 S Jim Thorpe Blvd, Nbu 1706, Prague, OK 74864-3505 |