Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Okmulgee Terrace, LLC

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1093816100

Okmulgee Terrace, LLC is an Intellectual Disabilities Intermediate Care Facility in Sallisaw, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 E Choctaw St
Sallisaw, OK 74955-0429
Phone: (918) 775-4439
Fax: (918) 775-9242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence NH5607-5607 (OK)

Record details

NPI number1093816100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Moran — Business Management · (918) 775-4439
NPI enumeratedSeptember 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 429, Sallisaw, OK 74955-0429

Other providers in Sallisaw