Lake Drive Health Care LLC
Lake Drive Health Care LLC is an Intellectual Disabilities Intermediate Care Facility in Henryetta, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.
- Licensed in
- OK
- In the registry since
- 2013
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 Lake RdHenryetta, OK 74437-5415
Phone: (918) 652-8101
Fax: (918) 652-0253
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
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence NH5605 (OK) |
|---|
Record details
| NPI number | 1598002966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judah Bienstock — Managing Member · (314) 812-2550 |
| Other names | Lake Drive Care And Rehabilitation Center |
| NPI enumerated | January 5, 2013 |
| Last updated in NPPES | December 2, 2015 |
| Mailing address | 600 Lake Rd, Henryetta, OK 74437-5415 |
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