Jackie Fields Foundation
Jackie Fields Foundation is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Muskogee, Oklahoma. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
2303 PickensMuskogee, OK 74402
Phone: (918) 913-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1578865317 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jackie Stanford — Ceo · (918) 913-6017 |
| NPI enumerated | November 30, 2010 |
| Last updated in NPPES | November 30, 2010 |
| Mailing address | Pob 1810 2303 Pickens, Muskigee, OK 74402 |