Legend at Jefferson's Garden

Organization Physical Disabilities Residential Treatment Facility · NPI 1982938072

Legend at Jefferson's Garden is a Physical Disabilities Residential Treatment Facility in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in: OK
In the registry since: 2009

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Practice location Address checks out

15401 N Pennsylvania Ave
Edmond, OK 73013
Phone: (405) 715-1717
Fax: (405) 715-9017

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary)	Taxonomy 320700000X · Licence AL5517-5517 (OK)

Record details

NPI number	1982938072
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Nelda Randall — Director · (405) 715-1717
NPI enumerated	September 23, 2009
Last updated in NPPES	September 23, 2009
Mailing address	15401 N Pennsylvania Ave, Edmond, OK 73013